1. Cardiothoracic anatomy

2. CT anatomy

3. Overview mediastinum Layer Zone 1 (T1 – T4) Zone 2 (T5 – T8)
1 – Posterior channels
Only thoracic duct
Thoracic duct
Azygos vein
Descending thoracic aorta
2 – Tubular viscera
Trachea
Oesophagus
Main bronchi
3 – Heart and arteries
Arch of the aorta
3 main branches off aortic arch
Ascending aorta
Pulmonary trunk
Heart
4 – Veins
Brachiocephalic veins
SVC
Heart (no actual veins)
5 – Anterior mediastinal structures and fat
Thymus
Anterior mediastinal fat
?Thymus
Overview mediastinum

4. Superior mediastinum

5. Superior mediastinum

6. Superior mediastinum

7. Superior mediastinum

8. Superior mediastinum

9. Middle zone

10. Middle zone

11. Middle zone

12. Middle zone

13. Middle zone

14. Middle zone

15. Middle zone

16. Lower zone

17. Lower zone

18. Lower zone

19. Lower zone

20. Lower zone

21. Lower zone

23. Approach to Chest CT

24. Mediastinum
Lungs
Pleura
MSK
Chest wall
5 point checklist

25. Checklist of pathologies to check
Trauma
Chest pain / SOB
Neoplasm
Mediastinum
Vascular injury
Oesophageal injury
Injury to Bronchus
Pneumomediastinum
Tracheal deviation
Pericardial fluids
Cardiomegaly
Pulmonary embolus
Aortic dissection
Lymph nodes
Mediastinal nodes
Pericardial effusions
Lungs
Pulmonary contusions
Pulmonary consolidation
Pulmonary collapse
Pulmonary mass
Hilar shadowing
Pulmonary mass – Primary, secondary
Pleura
Pneumothorax
Haemothorax
Pleural effusions
MSK
Fracture – Sternum, Ribs, Vertebrae
Rib fractures
Kyphoscoliosis
Bone mets
Chest wall
Haematoma NA
Previous evidence mastectomy
Axillary lymphadenopathy
Checklist of pathologies to check