4L - Left lower paratracheal nodes

4L - Nodi mediastinales inferiores sinistri

Definition

Station 4L (Left Lower Paratracheal Lymph nodes) are nodes lateral to the left border of the trachea and medial to the ligamentum arteriosum.

Boundaries:

  • The upper border of station 4L is the upper margin of the aortic arch.
  • The lower border of station 4L is the upper rim of the left main pulmonary artery (Note: on CT, in daily practice, the lower border of station 4L may be considered as the left tracheobronchial angle).
  • The left lateral wall of the trachea (not the midline) serves as the boundary between stations 4R and 4L.

 

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