Soft Tissue Neck CT Anatomy

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Transcription:

Soft Tissue Neck CT Anatomy Kris Cummings, M.D.

Axial CT Unlabeled Labeled Deep s/lymph Node Chains

s/lymph Nodes Temporalis Muscle Occipitalis Muscle

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes Internal Carotid Artery Styloid Process Internal Jugular Vein

s/lymph Nodes Tensor Veli Palatini Muscle Lateral Pharyngeal Recess Parotid Gland (Superficial and Deep lobes separated by VII)

s/lymph Nodes Rectus capitis anterior Muscle

s/lymph Nodes Lateral Pterygoid Muscle

s/lymph Nodes Nasopharynx

s/lymph Nodes Longus Colli Muscle

s/lymph Nodes Lateral Pterygoid Plate Medial Pterygoid Plate

s/lymph Nodes Medial Pterygoid Muscle

s/lymph Nodes

s/lymph Nodes Anterior Facial Vein Masseter Muscle Splenius capitis Muscle

s/lymph Nodes Inferior Oblique Muscle Semispinalis capitis Muscle

s/lymph Nodes Palatopharyngeus Muscle Rectus Capitis Muscle

s/lymph Nodes Palantine Tonsil Soft Palate Sternocleidomastoid Muscle Retromandibular Vein

s/lymph Nodes Maxillary Tuberosity

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes Hard Palate Uvula Vertebral Artery in Transverse Foramin

s/lymph Nodes Alveolar Ridge of Maxilla

s/lymph Nodes Air in Eustachian Tube

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes Buccinator Muscle Oropharynx

s/lymph Nodes Intrinsic Muscles of Tongue External Carotid Artery Internal Carotid Artery Omohyoid Muscle Internal Jugular Vein

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes Lingual Septum Pharyngeal constrictor Muscle Posterior Pharyngeal Wall

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes Lingual Tonsil

s/lymph Nodes Epiglottis (Free Margin) Internal Jugular Vein Sternocleidomastoid Muscle External Jugular Vein

s/lymph Nodes

s/lymph Nodes Submandibular Gland Multifidus Muscle Splenius Capitus Muscle Semispinalis Capitus Muscle Semispinalis cervicis Muscle Glossoepiglottic Fold Pharyngoepiglottic Fold

s/lymph Nodes Vallecula Multifidus Muscles Nuchal Ligament

s/lymph Nodes Hypopharynx

s/lymph Nodes Mylohyoid Muscle Genioglossus Muscle Sublingual Gland

s/lymph Nodes Aryepiglottic Fold

s/lymph Nodes Hyoid Epiglottis (Body) Piriform Sinus

s/lymph Nodes Mylohyoid and Geniohyoid muscles Paralaryngeal (Paraglottic) Fat in preepiglottic space Laryngeal inlet

s/lymph Nodes Thyrohyoid, Sternohyoid, Omohyoid Muscles Hypoepiglottic Ligament

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes Anterior Belly of Digastric Muscle

s/lymph Nodes Superior Cornu of Thyroid Cart. Laryngeal Vestibule Vestibular Fold (False Vocal Cord)

s/lymph Nodes

s/lymph Nodes True Vocal Cord Glottis Anterior Commisure (Thyroid Cart.) Arytenoid Cartilage Cricoid Cartilage Cricopharyngeus Muscle

s/lymph Nodes

s/lymph Nodes Inferior Horn of Thyroid Cartilage Anterior Jugular Vein Trapezius

s/lymph Nodes Subglottic Longus Colli and Capitus Muscles Levator Scapulae Muscle

s/lymph Nodes Cricothyroid Membrane

s/lymph Nodes Infrahyoid Strap Muscles Cricoid Cartilage

s/lymph Nodes Trachea

s/lymph Nodes

s/lymph Nodes Anterior Jugular Vein

s/lymph Nodes Thyroid Sternocleidomastoid Muscle Esophagus Internal Jugular Vein Right Common Carotid Artery

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes Anterior Scalene Muscle Middle Scalene Muscle Posterior Scalene Muscle

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes Anterior Scalene Muscle Right Subclavian Artery Middle Scalene Muscle

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes Right Subclavian Artery Right Common Carotid Artery

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes Right Subclavian Vein

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes

s/lymph Nodes Left Brachiocephalic Vein Right Brachiocephalic Vein Right Brachiocephalic Artery Trachea Left Common Carotid Artery Esophagus Left Subclavian Artery

s/lymph Nodes Pectoralis Minor Muscle Pectoralis major Muscle Sternoclavicular Joint Infraspinatus Muscle Subscapularis Muscle Trapezius Muscle Erector Spinae Muscle

Suprazygomatic Masticator

Suprazygomatic Masticator

Suprazygomatic Masticator

Suprazygomatic Masticator

Suprazygomatic Masticator

Suprazygomatic Masticator

Suprazygomatic Masticator

Suprazygomatic Masticator

Suprazygomatic Masticator Parotid Carotid (Nasopharyngeal)

Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal)

Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal)

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal)

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral)

Parapharyngeal Pharyngeal Mucosal Parotid Nodes Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral)

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral)

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral)

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal

Parapharyngeal Pharyngeal Mucosal Parotid Nodes Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) Retropharyngeal (Potential ) Danger (Potential ) (Paraspinal) (Prevertebral) Buccal

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal Deep Cervical

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal Deep Cervical

Parapharyngeal Pharyngeal Mucosal Parotid Nodes Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal Retropharyngeal Nodes-Lateral Deep Cervical

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal Deep Cervical

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal Retropharyngeal Nodes-Medial Deep Cervical

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal Deep Cervical

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal Retropharyngeal Nodes-Lateral Retropharyngeal Nodes-Medial Deep Cervical

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal Deep Cervical

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal Deep Cervical

Parapharyngeal Pharyngeal Mucosal Masticator Parotid Carotid (Nasopharyngeal) (Paraspinal) (Prevertebral) Buccal Deep Cervical

Pharyngeal Mucosal Masticator Parotid Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Buccal Submandibular Deep Cervical

Pharyngeal Mucosal Masticator Parotid Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Buccal Submandibular Deep Cervical

Pharyngeal Mucosal Masticator Parotid Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Buccal Submandibular Deep Cervical

Pharyngeal Mucosal Masticator Parotid Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Buccal Submandibular Deep Cervical

Pharyngeal Mucosal Masticator Parotid Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Buccal Submandibular Deep Cervical

Pharyngeal Mucosal Masticator Parotid Deep Cervical (Jugular) Chain- High (Above Hyoid) Carotid (Oropharyngeal) Jugulodigastric Node (Paraspinal) (Prevertebral) Buccal Submandibular Deep Cervical

Pharyngeal Mucosal Masticator Parotid Carotid (Oropharyngeal) Spinal Accessory Chain (Paraspinal) (Prevertebral) Buccal Submandibular Deep Cervical

Pharyngeal Mucosal Masticator Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Submandibular Deep Cervical

Masticator Carotid (Oropharyngeal) Retropharyngeal (Potential ) Danger (Potential ) (Paraspinal) (Prevertebral) Submandibular Deep Cervical

Masticator Parotid Deep Cervical (Jugular) Chain- High (Above Hyoid) Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Sublingual Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Sublingual Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Submandibular Nodes Sublingual Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Submandibular Nodes Sublingual Submandibular Deep Cervical

Carotid (Oropharyngeal) Spinal Accessory Chain (Paraspinal) (Prevertebral) Submandibular Nodes Sublingual Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Sublingual Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Sublingual Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Sublingual Submandibular Deep Cervical

Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Submandibular Deep Cervical

Deep Cervical (Jugular) Chain- Middle (Between Hyoid and Cricoid) Spinal Accessory Chain Carotid (Oropharyngeal) (Paraspinal) (Prevertebral) Submandibular Visceral Deep Cervical

Carotid (Cervical) Anterior Cervical Chain-Pretracheal (Paraspinal) (Prevertebral) Submandibular Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) (Prevertebral) Submandibular Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) (Prevertebral) Submental Nodes Submandibular Visceral Deep Cervical

Deep Cervical (Jugular) Chain- Middle (Between Hyoid and Cricoid) Spinal Accessory Chain Carotid (Cervical) (Paraspinal) (Prevertebral) Submandibular Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) Anterior Cervical Chain-Prelaryngeal (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) Anterior Cervical Chain-Prelaryngeal (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) Spinal Accessory Chain (Paraspinal) Anterior Cervical Chain-Paratracheal (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) Anterior Cervical Chain-Pretracheal (Paraspinal) (Prevertebral) Visceral Deep Cervical

Deep Cervical (Jugular) Chain-Low (Below Cricoid) Carotid (Cervical) (Paraspinal) Anterior Cervical Chain-Paratracheal (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) Spinal Accessory Chain (Paraspinal) (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) (Paraspinal) Anterior Cervical Chain-Paratracheal (Prevertebral) Visceral Deep Cervical

Carotid (Cervical) Anterior Cervical Chain-Pretracheal (Paraspinal) Visceral Deep Cervical

Carotid (Mediastinal) (Paraspinal) Visceral

Deep Cervical (Jugular) Chain-Low (Below Cricoid) Carotid (Mediastinal) (Paraspinal) Visceral

Carotid (Mediastinal) (Paraspinal) Anterior Cervical Chain-Paratracheal Visceral

Carotid (Mediastinal) (Paraspinal)

Carotid (Mediastinal) (Paraspinal)

Carotid (Mediastinal) (Paraspinal)

Carotid (Mediastinal) (Paraspinal)

Carotid (Mediastinal) (Paraspinal)

Carotid (Mediastinal) (Paraspinal)

Carotid (Mediastinal) (Paraspinal)

Deep Cervical (Jugular) Chain-Low (Below Cricoid) Virchow s Node Carotid (Mediastinal) (Paraspinal)

(Paraspinal)

Transverse Cervical Chain (Paraspinal)

(Paraspinal)

(Paraspinal)

Transverse Cervical Chain (Paraspinal)

(Paraspinal)

(Paraspinal)

(Paraspinal)

(Paraspinal)

(Paraspinal)

(Paraspinal)

(Paraspinal)

(Paraspinal)

(Paraspinal)

(Paraspinal)

Arteries Brachiocephalic, left Common Carotid, left External Carotid Internal Carotid Subclavian, left Subclavian, right Vertebral, right Aryepiglottic Fold Arytenoid Cartilage Cricoid Cartilage Lamina Cricothyroid Membrane Epiglottis Body Free margiin Esophagus Eustachian Tube Glossoepiglottic Fold Glottis Hard palate Hyoid bone Hypoepiglottic ligament Hypopharynx Laryngeal inlet Laryngeal Vestibule Lateral Pharyngeal Recess Lateral Pterygoid Plate Lingual Septum Lingual Tonsil Lymph Node Chain Anterior Cervical Paratracheal Prelaryngeal Pretracheal Deep Cervical High Middle Low Parotid Retropharyngeal Lateral Medial Spinal Accessory Submandibular Submental Transverse Cervical Lymph Node Jugulodigastric Virchow s Maxilla Alveolar Ridge Maxillary Tuberosity Medial Pterygoid Plate Muscle Buccinator Cricopharyngeus Diagastric, Anterior Belly Erector Spinae Genioglossus Inferior Oblique

(cont.) Muscle (Cont.) Infraspinatus Lateral Ptyergoid Levator Scapulae Longus Colli Longus Capitus Masseter Medial Pterygoid Multifidus Mylohyoid Geniogyoid Occiptalis Omohyoid Palatopharyngeus Pectoralis major Pectoralis minor Pharyngeal constrictor Rectus capitis Rectus capitis anterior Scalene Anterior Middle Posterior Semispinalis capitis Semispinalis cervicis Splenius capitis Sternocleidomastoid ICA/EJV Heads Strap Muscles Subscapularis Temporalis Tensor veli palatini Tongue, intrinsic Trapezius Nasopharynx Nuchal Ligament Oropharynx Palantine Tonsil Paralaryngeal (Paraglottic) Parotid Gland Pharyngoepiglottic Fold Piriform Sinus Posterior pharyngeal wall Preepiglottic space Soft palate Buccal Carotid Cervical Mediastinal Nasopharyngeal Danger Deep Cervical Masticator Suprazygomatic Parapharyngeal Parotid

(cont.) Paraspinal Prevertebral Pharyngeal Mucosal Retropharyngeal Sublingual Submandibular Visceral Sternoclavicular Joint Styloid Process Subglottic Sublingual Gland Submandibular Gland Thyroid Cartilage Anterior Commisure Inferior Cornu Superior Cornu Thyroid Gland Trachea True Vocal Cord Uvula Vallecula Vein Anterior Facial Anterior Jugular Brachiocephalic, left Brachiocephalic, right Internal Jugular Retromandibular Subclavian Vestibular Fold (False cord)