Lungs
Plate205
LymphVesselsandNodesofLung
Right paratracheal nodes
Right superior tracheobronchial nodes
Bronchomediastinal lymphatic trunk
Brachiocephalic vein
Inferior deep cervical
(scalene) node
Internal jugular vein
and jugular lymphatic trunk
Right lymphatic duct
Subclavian vein
and subclavian
lymphatic trunk
Bronchopulmonary
(hilar) nodes
Pulmonary
(intrapulmonary)
nodes
Subpleural
lymphatic
plexus
Inter-
lobular
lymph
vessels
Drainage
follows
bronchi,
arteries,
and
veins
Left paratracheal nodes
Bronchomediastinal lymphatic trunk
Brachiocephalic vein
Inferior deep cervical
(scalene) node
Thoracic duct
Left superior
tracheobronchial nodes
(Aortic arch) node of
ligamentum arteriosum
Bronchopulmonary
(hilar) nodes
Pulmonary (intra-
pulmonary) nodes
Subpleural
lymphatic
plexus
Interlobular
lymph
vessels
Drainage
follows
bronchi,
arteries,
and veins
Lymphatic drainage routes
Inferior
tracheobronchial
(carinal) nodes
Pulmonary
ligaments
Routes to
mediastinum
Left lung:
The superior lobe drains to pulmonary and broncho-
pulmonary (hilar) nodes, inferior tracheobronchial (carinal)
nodes, left superior tracheobronchial nodes, left paratracheal
nodes and/or (aortic arch) node of ligamentum arteriosum,
then to the brachiocephalic vein via the left bronchomediastinal
trunk and thoracic duct. The left inferior lobe also drains to the
pulmonary and bronchopulmonary (hilar) nodes and to inferior
tracheobronchial (carinal) nodes, but then mostly to right
superior tracheobronchial nodes, where it follows the
same route as lymph from the right lung.
Right lung:
All lobes drain to pulmonary
and bronchopulmonary (hilar) nodes, then
to inferior tracheobronchial (carinal) nodes,
right superior tracheobronchial nodes,
and right paratracheal nodes on the way
to the brachiocephalic vein via the
bronchomediastinal lymphatic trunk and/
or inferior deep cervical (scalene) node.
See±also±
Plates 74
,
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235
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