Aortopulmonary stripe

Linea aortopulmonaria

  • Synonym: Aortic-pulmonary stripe

Definition

The aortic-pulmonary stripe (aortopulmonary stripe),  represents the interface between the left lung and the mediastinum along the main pulmonary artery toward the aortic arch. This edge runs anteriorly to the AP window reflection.

Normal radiographic appearance:

The aortic pulmonary stripe extends from the aortic arch to the level of the left main bronchus, where it usually continues as the border of the left side of the heart. It delineates the anterior margin of the AP window and is normally straight or slightly convex.

Abnormal radiographic appearance:

The normal appearance of this interface may be altered by anterior mediastinal disease such as thyroid masses, thymic tumors and lymphadenopathy .

References

Gibbs JM, Chandrasekhar CA, Ferguson EC, Oldham SA. Lines and stripes: where did they go?--From conventional radiography to CT. Radiographics. 2007 Jan-Feb;27(1):33-48. doi: 10.1148/rg.271065073. PMID: 17234997.

Marano R, Liguori C, Savino G, Merlino B, Natale L, Bonomo L. Cardiac silhouette findings and mediastinal lines and stripes: radiograph and CT scan correlation. Chest. 2011 May;139(5):1186-1196. doi: 10.1378/chest.10-0660. PMID: 21540217.

Cardiac silhouette findings and mediastinal lines and stripes: X-ray and computed tomography correlation R. Marano, G. Savino, C. Liguori, A. Meduri, L. Natale, L. Bonomo; Rome/IT  CR-222 poster ECR 2009 

Mediastinal lines, stripes and interfaces on PA chest radiograph with CT correlations - N. Bystrická, H. Poláková, J. Sykora; Bratislava/SKC-0442ECR 2013 10.1594/ecr2013/C-04

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