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Updated: Dec 15 2020

Lung Relationships

  • Overview
    • Extent of Lungs
      • apex is located above the clavicle
      • base rests on the diaphragm
    • Right Lung
      • 3 lobes
        • upper (superior), middle, and lower (inferior) lobes
      • 2 fissures
        • oblique (major) fissure separates upper and lower lobes
        • horizontal (transverse) fissure separates upper and middle lobes
    • Left Lung
      • 2 lobes
        • upper (superior) and lower (inferior) lobes
      • 1 fissure
        • oblique fissure
      • cardiac notch
        • an indentation consequent to the deviation of apex of heart to left side
          • lingula is a flap of lung tissue of the left upper (superior) lobe that lies below cardiac notch
            • homolog of right middle lobe
          • the apex of the heart is covered anteriorly by the left lung
            • lies at the left fifth intercostal space at the midclavicular line
    • Hilum of Lung
      • a wedge-shaped area on mediastinal surface of each lung through which structures forming root of lung pass to enter or to exit lung
      • Relationship of pulmonary artery (PA) to bronchus ("RALS")
        • right lung: anterior to bronchus
        • left lung: superior to bronchus
    • Trachea
      • bifurcates into left and right (primary) main bronchi at level of sternal angle
        • right (primary) main bronchus is shorter, wider, and runs more vertically
          • foreign body is more likely to pass through right (primary) main bronchus and into right lung
            • upright position
              • inferior (basal) portion of right lower (inferior) lobe
            • supine position
              • posterior portion of the right upper lobe
              • superior portion of right lower (inferior) lobe
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