Dissection of anterior and lateral regions of neck

Thoracic duct; structures related to cupula of pleura, left anterolateral view

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Image #76-3

Dissection of anterior and lateral regions of neck

Thoracic duct; structures related to cupula of pleura, left anterolateral view

The internal jugular vein has been cut off and the left innominate vein retracted anteromedially.

1. Cricoid cartilage
2. Trachea
3. Isthmus of thyroid gland (cut across)
4. Inferior thyroid vein right
5. Sternothyroid muscle
6. Sternal extremity of clavicle (covered by joint capsule)
7. Thymus
8. Articular surface of manubrium of sternum for left clavicle
9. Manubrium of sternum
10. Common carotid artery
11. Vagus nerve (X)
12. Ascending cervical artery
13. Phrenic nerve
14. Superficial cervical artery
15. Inferior cervical ganglion
16. Vertebral vein
17. Thyrocervical trunk
18. Thoracic duct
19. Subclavian artery
20. Anterior scalene muscle
21. Transverse scapular artery
22. Cupula pleurae
23. Internal thoracic (mammary) artery (note internal mammary nerve plexus)
24. Anterior and posterior bronchomediastinal lymphatic trunks
25. Left internal mammary lymphatic vessels
26. Upper pointer: Anonymous vein left (retracted anteromedially) Lower pointer: Costoclavicular ligament