Left Lateral View of Chest

The projection demonstrates mediastinal divisions into the superior, anterior, middle and posterior. Note the backwards slant of the trachea from the thoracic inlet to the carina. This slant should be borne in mind when tracheal tomograms are performed. Note the position of the outflow tract of the right ventricle and the high position of the left atrium. Note the position of the lung fissures, the left oblique fissure reaching its inferior limit about 5 cm behind the sternum. The right oblique fissure travels more anteriorly at its lower limit. Note also the apparently translucent anterior mediastinum in the normal.