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HEAD & NECK LYMPHATIC SYSTEM ARM AXILLA & THORAX

Occipital nodes R. lymphatic trunk
** = cut Parotid lymph nodes Central axillary Internal jugular nodes
a. = artery Retroauricular nodes nodes
L. = Left
l. = ligament Parasternal
m. = muscle
Superficial parotid nodes Cervical lymph nodes Subclavian
nodes
R. = Right Posterior submandibular node nodes
v. = vein
v.v. = veins Brachial nodes
Brachiocephalic v.**
L. thoracic duct
Buccal node
Axillary lymph nodes
Intercostal nodes
Jugulodigastric
nodes Subscapular
Submental nodes nodes
Upper deep cervical
nodes (jugular) Lymphatic
Submandibular nodes vessels
Lower deep
cervical nodes Interpectoral nodes
Intestinal nodes

Cubital
lymph Paramammary nodes
nodes

Pathways to
Suprahyoid node Cisterna chyli opposite breast
Transverse
cervical nodes
R. lymphatic duct Pathways to
Para-aortic nodes subdiaphragmatic
Common iliac nodes nodes
Subclavian chain of nodes

THORACIC DUCT
Palmar vessels Inguinal L. jugular trunk
lymph
nodes R. jugular trunk Thoracic duct
NODES & VESSELS
L. subclavian
R. lymphatic duct
Popliteal lymph nodes lymph trunk
Medullary cords
Efferent lymphatic vessels** R. subclavian lymph
trunk
Medulla Brachiocephalic
V. & a. of node** Superficial v.**
Medullary sinus lymph
Superior
Hilum vessels Accessory
vena cava
Direction of hemiazygos
Afferent lymphatic v.
lymph flow
vessels** Azygos v.
Follicle Intercostal
Cortex lymph
Valve Intercostal nodes
Germinal center lymph nodes
in follicle Thoracic
Reticulin Marginal zone duct
Trabecula Posterior
Direction of lymph flow intercostal v.v.
Capsule Hemiazygos
Vascular pattern Subcapsular sinus v.
Tunica adventicia
Lymph capillary
R. lumbar trunk Subcostal v.
Capillary
Precapillary bed
sphincter Tunica media
Cisterna
Lateral aortic lymph nodes chyli
Tunica intima

Arteriole**
Venule** Lateral aortic
Plantar vessels
Minivalve (lymphatic Intestinal trunk lymph nodes
fluid entrance port) Endothelial cell
L. lumbar trunk
Filament to connective tissue Retroaortic lymph nodes
 DEEP ABDOMINAL & INGUINAL NODES LARGE INTESTINE
L. gastric a. Superior mesenteric nodes
Thoracic duct** Thoracic duct**
Cardiac ring of nodes
Hepatic v.v.** Cisterna chyli Celiac nodes
Celiac node Epicolic nodes
Inferior vena cava** Paracolic nodes
Abdominal aorta
Middle colic
Thoracic duct L. lumbar trunk
nodes

Cisterna chyli L. lumbar nodes

R. lumbar trunk R. colic

Subaortic
nodes
common iliac
Inferior vena cava** nodes
Paracolic
Common iliac nodes
nodes Ileocolic
Lateral common nodes
iliac nodes Inferior
Sacral nodes
mesenteric
Intermediate nodes
Interiliac Cecal
external iliac
external nodes
nodes
iliac node L. colic
nodes
Highest deep
inguinal node Internal iliac
(Rosenmuller or nodes
Cloquet) Paracolic
nodes
Inguinal l. Superolateral
superficial Appendicular
inguinal nodes
Deep inguinal nodes Sigmoid nodes
nodes
Fascia lata
Common iliac nodes Preaortic nodes
Cremaster m.** Inferior superficial
Cut fascia inguinal nodes
Cribiform Superior rectal nodes
Sigmoid colon** fascia Great saphenous v.

STOMACH & PANCREAS HEART & LUNGS

Esophagus** Aorta** L. gastric nodes R. tracheal nodes L. tracheal nodes
Inferior deep cervical node
L. superior pancreatic nodes Inferior deep cervical node
Thoracic duct** L. brachiocephalic v.**
Diaphragm** Thoracic duct
Celiac nodes Subclavian chain of nodes R. brachiocephalic v.**
Splenic
nodes R. superior
Cisterna chyli tracheobronchial nodes Aortic arch node
L. superior tracheo-
R. superior Inferior tracheo- bronchial nodes
pancreatic node bronchial nodes
Bronchopulmonary
Pulmonary nodes (hilar) nodes
Suprapyloric nodes
Subpleural
Subpleural lymphatic
lymph plexus plexus
Pyloris
Broncho- Interlobular
L. gastroepiploic pulmonary lymph
(gastro-omental) node (hilar) nodes vessels

Pulmonary
Pancreas
nodes
(behind stomach) Interlobular
Infrapyloric lymph
nodes vessels
R. gastroepiploic Heart
(gastro-omental) nodes (transparent)
Head of
pancreas Superior mesenteric nodes Retrocardiac nodes
Infracardial
Stomach Superior mesenteric a.** Anterior mediastinal nodes nodes
(transparent) Duodenum Preaortic nodes L. gastric nodes

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