Lungs and thoracic viscera

Source region and uptake · Hilar first

Lung lymph passes from pulmonary to bronchopulmonary (hilar), then tracheobronchial and paratracheal nodes; heart, thymus and oesophagus feed the same mediastinal chains.

Detail

Sequence
Pulmonary to bronchopulmonary to tracheobronchial to paratracheal
Oesophagus
Posterior mediastinal nodes above, coeliac nodes below
Efferents form
Bronchomediastinal trunk
Visceral pleura
Drains to hilar nodes; parietal pleura to parasternal and mediastinal nodes

When it goes wrong

Oesophageal carcinoma of the lower third

Coeliac nodal spread below the diaphragm, altering resectability

Practise this structure

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