Bassett Collection Large Image - Lane Medical Library, Stanford University Medical Center

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For additional information regarding use and permissions, please contact Dr. Drew Bourn at dbourn@stanford.edu.

Dissection of mediastinum and paravertebral structures

Right first and second intercostal spaces; stellate ganglion; costocervical trunk

The view is from below and in front.

1 .	Sternocleidomastoid muscle (cut off)
2 .	Ascending cervical artery
3 .	Transverse colli artery
4 .	Anterior scalene muscle (cut off note remnant of insertion of this muscle on first rib slightly lower in view)
5 .	Branches of costocervical trunk (upper pointer, deep cervical artery; lower pointer, supreme intercostal artery)
6 .	Inferior trunk brachial plexus
7 .	Rib I (cut off)
8 .	Thoracic nerve
9 .	Rami intercostal nerve I
10 .	Sympathetic trunk
11 .	Ramus communicans
12 .	Rib II
13 .	Intercostal nerve II
14 .	Innermost intercostal muscle
15 .	Common carotid artery
16 .	Middle cervical ganglion
17 .	Vagus nerve right
18 .	Thyrocervical trunk
19 .	Vertebral artery
20 .	Trachea
21 .	Upper pointer: Internal thoracic artery (cut off) Lower pointer: Ansa subclavia
22 .	Stellate ganglion
23 .	Posterior mediastinal lymph node
24 .	Anterior longitudinal ligament
25 .	Esophagus
26 .	Thoracic cardiac nerve
27 .	Branch posterior intercostal artery (to esophagus, trachea)
28 .	Intercostal vein III