The Lymph Node Stations in the Chest

Рет қаралды 99,791

Күн бұрын

Check out the IASLC lymph node map here:
www.iaslc.org/Portals/0/35348...
Check out the Radiographics article I mentioned here:
pubs.rsna.org/doi/full/10.114...
Textbooks I like for chest radiology-
Med students and all residents: Felson’s Principles of Chest Roentgenology
amzn.to/3FhBkvN
Radiology residents: Thoracic Imaging: Pulmonary and Cardiovascular Radiology
amzn.to/2YqzLLh
Thoracic radiology fellows: Muller’s Imaging of the Chest: Expert Radiology Series
amzn.to/3ouJ7QY

Пікірлер: 97

@vickyvicky2757 3 жыл бұрын

Thank you for that great description.

@nope478 3 жыл бұрын

Excellent video Dr. Thanks a lot

@raveeshroy Жыл бұрын

0:40 FIRST STATION-LOW CERVICAL SUPRACLAVICULAR AND STERNAL NOTCH LYMPH NODES 1:13 RIGHT SUPRACLAVICULAR LYMPH NODE 1:33 SUPRACLAVICULAR LYMPH NODES (N3) AND UPPER PARATRACHEAL LYMPH NODES (N2) 2:10 UPPER PARATRACHEAL NODE 2:18 DISTINGUISH BETWEEN UPPER PARATRACHEAL AND SUPRACLAVICULAR LYMPH NODE 3:00 SUPRACLAVULAR LYMPH NODES 3:09 PREVASCULAR LYMPH NODE 3:19 INFERIOR BORDER OF UPPER PARATRACHEAL LYMPH NODE -ON LEFT (TOP OF AORTIC ARCH) ON RIGHT ( BOTTOM OF LEFT INNOMINATE VEIN) 4:25 RIGHT AND LEFT PARATRACHEAL LYMPH NODES 6:08 PARA AORTIC NODES AND NOT PREVASCULAR NODES ( STATION 6 PARA AORTIC NODES) 6:28 RETROTRACHEAL LYMPH NODE 7:07 PARA AORTIC NODES 7:23 SUB AORTIC NODES OR AORTOPULMONARY WINDOW LYMPH NODES (STATION 5 LYMPH NODES) 7:58 SUBCARINAL OR STATION 7 LYMPH NODES 8:40 PARAESPHAGEAL OR STATION 8 LYMPH NODES 9:01 PULMONARY LIGAMENT OR STATION 9 LYMPH NODES 9:41 INTER LOBAR OR STATION 11 LYMPH NODES

@LetsGetRadio93 Жыл бұрын

You are a gem man❤

@user-xy7qs9ml4k 3 жыл бұрын

Thank you for your video!

@Emily-ye1qy 2 жыл бұрын

As a PGY2 rad onc resident, this video was SUPER helpful for contouring. Thank you thank you

@ThoracicRadiology 2 жыл бұрын

glad it was helpful and good luck with residency!

@santiagocanepa9099 2 жыл бұрын

Great stuff! Keep it up.

@briangilcrease7179 4 жыл бұрын

great review, succinct and exceptionally well demonstrated on multiplanar views. thx!

@ThoracicRadiology 4 жыл бұрын

thanks Brian!

@patrickhanks9049 4 жыл бұрын

Very nice video, thank you. The IASLC nodal scheme describes the changeover between lower paratracheal and hilar node stations at the lower margin of the azygos vein on the right, and the upper rim of the left main pulmonary artery on the left, not the carina as you mention in the video. I appreciate the added description of other nodal disease not discussed in the IASLC framework.

@ThoracicRadiology 4 жыл бұрын

Thanks for your comment, yes you're right I should have mentioned that. The IASLC document describes these nodes as immediately adjacent to the mainstem bronchi and hilar vessels, so that's why I described it the way I did. The landmarks you point out are more accurate. Incidentally, nodes that are anterior to the carina, I would still classify as right paratracheal.

@ranjusivakumar5801 Жыл бұрын

@@ThoracicRadiology thanks for helping out fellow dr in understanding

@sandeepghosh4689 9 ай бұрын

Beautiful video, wonderfully explained, made it so easy to comprehend along with the precise definitions of the stations by IASLC 👍

@ThoracicRadiology 8 ай бұрын

Thank you, glad it was helpful

@pau9342 4 жыл бұрын

Thank you!

@kamraninamdar2086 3 жыл бұрын

beautifully described .. thankyou so much

@nikonikovic5844 2 жыл бұрын

Great video! Thank you very much!!!

@mubashirhaq2651 3 жыл бұрын

very succinctly explained...thanks a lot...

@hspak5675 2 жыл бұрын

Great teaching!!

@luckypenny4263 8 ай бұрын

Excellent video

@alshaymaaabdelghaffar8202 2 ай бұрын

Great lecture,,, Thank you

@marchettobuzz Жыл бұрын

Amazing, thank you

@kaushikn2038 3 жыл бұрын

Fantastic. Lots of love from India

@rakeshbayapati3650 4 жыл бұрын

Thank you

@joeydoesntsharefood. 7 ай бұрын

Best explanation. thanks you

@Sunshine-dg2xs 3 жыл бұрын

Thank you Sir

@drsayed121 4 жыл бұрын

Thank you so much

@radiologicalman1623 Жыл бұрын

thanks for that great video.

@syedzaman1148 2 жыл бұрын

nice and friendly lecture

@muazezghazi4816 2 жыл бұрын

Very nice lecture..thanks alot..keep go on

@francescoarico9812 2 жыл бұрын

Top! Thank you very much. Greetings from Sicily

@ThoracicRadiology 2 жыл бұрын

Thank you too!

@vishnuchandrus6596 3 жыл бұрын

thank you

@vipersharma654 2 жыл бұрын

Very informative video

@vijayvarmann 4 жыл бұрын

Very informative...

@radiologydarkroom7709 4 жыл бұрын

fabulous.

@mainakde1744 Жыл бұрын

Excellent

@akulmunjal Жыл бұрын

Great Video; super helpful. Do you by any chance know any good practice questions to re-enforce the material?

@dr.kapilbabbar5533 3 жыл бұрын

love your class sir really excellent.. i don't have words to describe

@pablovargas90 2 жыл бұрын

Great video! Comes in super handy for a PG-2 Rad Res. Do you have articles like that but for abdominal node stations?

@BJ-sp2cj Жыл бұрын

Nicest Mediastinal LN review..awesome

@jeffreylim7206 3 ай бұрын

Great

@tropylium1135 4 жыл бұрын

Great video, Dr. Agrawal. What screen casting application and audio equipment do you use to make your lectures? Keep up the great content.

@ThoracicRadiology 4 жыл бұрын

Using QuickTime for the Mac to capture the video and audio. Using an Audio Technica microphone hooked up to my Mac via USB.

@Islamic.videos78615 Ай бұрын

V good 👍

@valeriacustis372 Жыл бұрын

I would need to understand how to see ANTERIOR MEDIASTINUM masses in a Thoracic CT...Thank you

@sardardarwish9159 Жыл бұрын

How to measure lymph node what axis we should measure the long or short

@RagingTortoise 2 жыл бұрын

Out of curiosity, are infraclavicular lymph nodes examined / visible on a thorax CT? You mentioned supraclavicular nodes, but not infra. Not a medical professional, just an enthusiast - so excuse my ignorance :)

@ThoracicRadiology 2 жыл бұрын

Great question, yes you can see those too but we call them something different. Like if they are under the pectoralis then subpectoral nodes.

@user-qp4ym2vb8c 2 жыл бұрын

Amazing video! Thank you I just uploaded a blog post about chest anatomy on my website and used some of the images from this video (with the reference). Please let me know if you don't want your contents to be reused and I will delete them.

@sakinagadiyeva5900 2 жыл бұрын

Thank you! I have a problem determining chest lymph nodes without iv contrast😣

@ThoracicRadiology 2 жыл бұрын

You'll master it soon. Takes a little time, that's all.

@Shasharsh 4 жыл бұрын

👏👏

@medhaithemabidi7413 3 жыл бұрын

great very helpful i have a Q: lobar segmental and subsegmental, are they assesed with CT? because i coudn"t find it :/

@ThoracicRadiology 3 жыл бұрын

Usually these are not described in detail because it doesn’t change the stage of the cancer nor the management very much.

@maryroddy3307 Жыл бұрын

Good luck to the team of physicians and consultants in endocrinoligy dental gynae and gastroentrogy and medical nano technology team looking into my care. From kathelizjenruddy

@HMAsad-er9ei Жыл бұрын

Hi Rishi, Thanks for sharing a nice talk. Just to ask regarding nodal chart you refereed, it is 8th edition. Are you still using same chart or any updated version (as this talk was uploaded about 3 years ago)? Secondly, i couldn't find any satisfactory answer about few subcentimeter thoracic nodes we see in our routine practice in patient with inflammatory conditions or in known malignancy situations. Referring services expect us to comment on these particularly on 1st / baseline study.

@ThoracicRadiology Жыл бұрын

Good question, the lymph node map is not updated on the same cycle as TNM staging, so yes it is still current.

@ThoracicRadiology Жыл бұрын

Yes I frequently see 9-10 mm nodes in connective tissue disease which I do mention in the report. In known malignancy, I don't usually mention small nodes unless they are unusual, for example enlarging nodes or nodes where there are usually no nodes like near diaphragm, pleura, and internal mammary.

@serialblesser 4 жыл бұрын

I need ask what's reactive slightly mediastinal lymphadenopathy? I was diagnosed with them, I am worried? Help would be appreciated

@ThoracicRadiology 4 жыл бұрын

It means your lymph nodes are enlarged. This can be for many reasons. It is important to see your doctor to figure out why they are enlarged.

@dr.shaishavishah8532 3 жыл бұрын

Sir which book is considered good to read thoracic radiology for residents?

@ThoracicRadiology 3 жыл бұрын

try Webb thoracic imaging

@tmorelli1982 3 жыл бұрын

Is a "non-specific borderline prominent" subcarinal lymph node (1cm) something to worry about?

@ThoracicRadiology 3 жыл бұрын

can't say for sure. It depends on the rest of your medical history and findings on the chest CT. better to ask your doc for this.

@sushantnepal3530 3 жыл бұрын

Sir,What is the meaning of few subcentrimetric sizes of lymphnodes noted In mediastinum

@ThoracicRadiology 3 жыл бұрын

One centimeter is the usual cutoff threshold for lymph nodes. If they are bigger than 1 cm, it is usually abnormal. Smaller than 1 cm usually means normal. Subcentimeter means less than 1 cm

@sushantnepal3530 3 жыл бұрын

@@ThoracicRadiology thank you sir.much appreciate

@zohebmulla3670 3 ай бұрын

Colon or large intestine ulcers can be seen in ct scan?

@ThoracicRadiology 2 ай бұрын

CT scan of the chest? Not usually, no.

@Louloui636 Жыл бұрын

Can you see supracavicular nodes in a chest and neck ct without contrast???

@ThoracicRadiology Жыл бұрын

yeah the neck CT overlaps a little bit with a chest CT, so if you have an enlarged node in the lower neck/upper chest, it should be on one of those.

@wearefortniters 11 ай бұрын

what is mean hypermetabolic ap window in Petscan

@ThoracicRadiology 10 ай бұрын

PET is an imaging modality that uses a radioactive tracer to cause certain tissues to light up. In the case of F-18 FDG PET, the radiotracer goes to tissues that are highly metabolically active. In the case of a hypermetabolic lymph node, that could be due to cancer, or it could be from other things like sarcoid, infection, or other inflammatory diseases. the AP window is a location in the chest.

@navazshahrukhkatpitia1951 8 ай бұрын

Hi Rishi.. Can ypu pls explain this ultra sound report comment.. "Multiple upto 37 x 13.5 mm sized porta peri pancreatic enlarged lymph nodes" What could it be.. I am very scared

@ThoracicRadiology 8 ай бұрын

Hi, better to ask your personal physician who knows more about your medical history. good luck.

@navazshahrukhkatpitia1951 8 ай бұрын

@@ThoracicRadiology yes..thank you

@mahso11 2 жыл бұрын

So lymph nodes do not enhance after IV contrast?

@ThoracicRadiology 2 жыл бұрын

They do enhance, but they won't be as bright as the vessels. Without contrast, the vessels and lymph nodes look about the same density.

@surajkumarkushwaha8028 3 жыл бұрын

sir plz help in ct scan report impression- few small neck nodes(?significance)

@ThoracicRadiology 3 жыл бұрын

Hi, I'm not sure. It could mean a lot of things. What else was seen on the CT? Did the report make any recommendations?

@surajkumarkushwaha8028 3 жыл бұрын

@@ThoracicRadiology no recommendation written in ct. thank sir

@ThoracicRadiology 3 жыл бұрын

Hi, it is probably ok, but every patient is different and you should speak to your doctor about it.

@rendhyardian58 3 жыл бұрын

Hi doctor. Are normal size mediastinal lymph node usually seen on ct scan of chest? Or only the abnormal one seen?

@ThoracicRadiology 3 жыл бұрын

Hi, yes, normal size lymph nodes are seen on CT scan of the chest.

@rendhyardian58 3 жыл бұрын

@@ThoracicRadiology thanks Doctor

@rendhyardian58 3 жыл бұрын

Sorry for asking 1 more question. If you found a patient with chest ct and there is 0.7 size paratracheal node, and the lung itself is normal. Do you think he need a repeated Ct?

@ThoracicRadiology 3 жыл бұрын

@@rendhyardian58 Prob not, but that's with limited info. What does the radiologist recommend?

@rendhyardian58 3 жыл бұрын

The radiologist did not recommend anything. Just said that there is a lymph node seen. The lung and others also normal