Anatomy · Thorax

Lungs: external features, relations, bronchopulmonary segments and applied anatomy

9 min read

  • Lungs: paired principal organs of respiration, conical/pyramidal, in the thoracic cavity on either side of the mediastinum.
  • Function: exchange of O2/CO2 between air and blood.

External Features

  • Each lung shows an apex, a base, three borders and two surfaces.

trachea and lungs, anterior view Trachea and lungs, anterior view.

External features of the lung

Feature

Apex

Key points
Rounded; about 3 cm above 1st rib, 2.5 cm above medial clavicle; under cervical pleura and suprapleural membrane

Apex relations

Key points
Anterior: subclavian artery, internal thoracic artery, scalenus anterior. Posterior: 1st rib neck, sympathetic chain, T1 ventral ramus

Base

Key points
Semilunar, concave, on diaphragm; right on liver (more concave), left on spleen and stomach fundus

Anterior border

Key points
Thin; right straight, left has cardiac notch with lingula (superficial cardiac dullness)

Posterior border

Key points
Thick, rounded; spine of C7 to spine of T10

Inferior border

Key points
Semilunar; separates base from costal and medial surfaces

Costal surface

Key points
Convex; upper 6 ribs midclavicular line, 8 midaxillary line, 10 scapular line

Medial surface

Key points
Vertebral part (vertebral column, splanchnic nerves) plus mediastinal part bearing the hilum