Mediastinum: Right Lateral View

Cervical (cupula, or dome, of) parietal pleura Anterior scalene muscle and phrenic nerve
and suprapleural membrane (Sibson’s fascia)
Brachial plexus
1st rib
Right subclavian artery and vein
Trachea
Clavicle
Right vagus nerve (X)
Subclavius muscle

Esophagus
1st rib

Sympathetic trunk Right and left

brachiocephalic veins
Right superior intercostal vein
Right internal thoracic
artery
4th thoracic vertebral body
Arch of azygos vein Thymus (seen through
mediastinal pleura)
Right main bronchus
and bronchial artery
Superior vena cava
Azygos vein
Phrenic nerve and
Posterior intercostal pericardiacophrenic
vein and artery and artery and vein*
intercostal nerve
Innermost Right pulmonary
intercostal artery
muscle
Mediastinal part
of parietal pleura
Internal intercostal (cut edge)
membrane deep to
external intercostal
muscle Fibrous pericardium
over right atrium
Gray and white
rami communicantes Right pulmonary
veins

Costal part of Inferior vena cava

parietal pleura (covered by
(cut edge) mediastinal part
of parietal pleura)
Greater
splanchnic nerve Diaphragm (covered by
diaphragmatic part
of parietal pleura)
Esophagus and
esophageal plexus
Costal part of
parietal pleura (cut edge)
Bronchopulmonary
(hilar) lymph nodes
Costodiaphragmatic recess
of pleural cavity
Pulmonary ligament (cut)

*Nerve and vessels commonly run independently.

Plate 227  Mediastinum