The normal and abnormal left superior intercostal vein
A study of 500 normal erect posteroanterior chest radiographs was undertaken to determine the incidence of visualization and size of the left superior intercostal vein in normal individuals. The vein produces a small "nipple" lateral to the aortic knob on 1.4% of normal erect posteroanteri...
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Veröffentlicht in: | American journal of roentgenology (1976) 1978-10, Vol.131 (4), p.599-602 |
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creator | Friedman, AC Chambers, E Sprayregen, S |
description | A study of 500 normal erect posteroanterior chest radiographs was undertaken to determine the incidence of visualization and size of the left superior intercostal vein in normal individuals. The vein produces a small "nipple" lateral to the aortic knob on 1.4% of normal erect posteroanterior chest films; its diameter can be up to 4.5 mm in normal patients. Dilatation of the vein beyond 4.5 mm is a useful sign of a circulatory abnormality warranting further study. Dilatation may be due to absence of the inferior vena cava, hypoplasia of the left innominate vein, congestive failure, portal hypertension, Budd-Chiari syndrome, or superior or inferior vena caval obstruction. The differential diagnosis of an enlarged left superior intercostal vein includes mediastinal mass, especially lymphadenopathy, and aneurysm of the arch of the aorta. |
doi_str_mv | 10.2214/ajr.131.4.599 |
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The vein produces a small "nipple" lateral to the aortic knob on 1.4% of normal erect posteroanterior chest films; its diameter can be up to 4.5 mm in normal patients. Dilatation of the vein beyond 4.5 mm is a useful sign of a circulatory abnormality warranting further study. Dilatation may be due to absence of the inferior vena cava, hypoplasia of the left innominate vein, congestive failure, portal hypertension, Budd-Chiari syndrome, or superior or inferior vena caval obstruction. The differential diagnosis of an enlarged left superior intercostal vein includes mediastinal mass, especially lymphadenopathy, and aneurysm of the arch of the aorta.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/ajr.131.4.599</identifier><identifier>PMID: 102147</identifier><language>eng</language><publisher>United States: Am Roentgen Ray Soc</publisher><subject>Adult ; Dilatation, Pathologic ; Humans ; Male ; Middle Aged ; Radiography ; Thorax - blood supply ; Vascular Diseases - diagnostic imaging ; Veins</subject><ispartof>American journal of roentgenology (1976), 1978-10, Vol.131 (4), p.599-602</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-2509d30eff469a216bac9582af9d412a43978a5b4b0c755d877a06fd3a527073</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,4122,27931,27932</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/102147$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Friedman, AC</creatorcontrib><creatorcontrib>Chambers, E</creatorcontrib><creatorcontrib>Sprayregen, S</creatorcontrib><title>The normal and abnormal left superior intercostal vein</title><title>American journal of roentgenology (1976)</title><addtitle>AJR Am J Roentgenol</addtitle><description>A study of 500 normal erect posteroanterior chest radiographs was undertaken to determine the incidence of visualization and size of the left superior intercostal vein in normal individuals. The vein produces a small "nipple" lateral to the aortic knob on 1.4% of normal erect posteroanterior chest films; its diameter can be up to 4.5 mm in normal patients. Dilatation of the vein beyond 4.5 mm is a useful sign of a circulatory abnormality warranting further study. Dilatation may be due to absence of the inferior vena cava, hypoplasia of the left innominate vein, congestive failure, portal hypertension, Budd-Chiari syndrome, or superior or inferior vena caval obstruction. The differential diagnosis of an enlarged left superior intercostal vein includes mediastinal mass, especially lymphadenopathy, and aneurysm of the arch of the aorta.</description><subject>Adult</subject><subject>Dilatation, Pathologic</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radiography</subject><subject>Thorax - blood supply</subject><subject>Vascular Diseases - diagnostic imaging</subject><subject>Veins</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1978</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkDtPwzAURi3EqxRGNoZMbAl-xvGIqvKQKrF0YLNuEpu6yqPYCRH_HletVKarq3u-70oHoXuCM0oJf4KtzwgjGc-EUmdoRgTPU0Y4OUczzHKSFph9XqObELYYY1koeYUuCY5ROUP5emOSrvctNAl0dQLlcWmMHZIw7ox3vU9cNxhf9WGIlx_jult0YaEJ5u4452j9slwv3tLVx-v74nmVVqzgQ0oFVjXDxlqeK6AkL6FSoqBgVc0JBc6ULECUvMSVFKIupASc25qBoBJLNkePh9qd779HEwbdulCZpoHO9GPQklPOZM4jmB7AyvcheGP1zrsW_K8mWO8t6WhJR0ua62gp8g_H4rFsTf2P3ms5_d24r83kvNEhOmkiTPQ0TaeeP7n9byU</recordid><startdate>197810</startdate><enddate>197810</enddate><creator>Friedman, AC</creator><creator>Chambers, E</creator><creator>Sprayregen, S</creator><general>Am Roentgen Ray Soc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197810</creationdate><title>The normal and abnormal left superior intercostal vein</title><author>Friedman, AC ; Chambers, E ; Sprayregen, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-2509d30eff469a216bac9582af9d412a43978a5b4b0c755d877a06fd3a527073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1978</creationdate><topic>Adult</topic><topic>Dilatation, Pathologic</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radiography</topic><topic>Thorax - blood supply</topic><topic>Vascular Diseases - diagnostic imaging</topic><topic>Veins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Friedman, AC</creatorcontrib><creatorcontrib>Chambers, E</creatorcontrib><creatorcontrib>Sprayregen, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of roentgenology (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Friedman, AC</au><au>Chambers, E</au><au>Sprayregen, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The normal and abnormal left superior intercostal vein</atitle><jtitle>American journal of roentgenology (1976)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>1978-10</date><risdate>1978</risdate><volume>131</volume><issue>4</issue><spage>599</spage><epage>602</epage><pages>599-602</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><abstract>A study of 500 normal erect posteroanterior chest radiographs was undertaken to determine the incidence of visualization and size of the left superior intercostal vein in normal individuals. The vein produces a small "nipple" lateral to the aortic knob on 1.4% of normal erect posteroanterior chest films; its diameter can be up to 4.5 mm in normal patients. Dilatation of the vein beyond 4.5 mm is a useful sign of a circulatory abnormality warranting further study. Dilatation may be due to absence of the inferior vena cava, hypoplasia of the left innominate vein, congestive failure, portal hypertension, Budd-Chiari syndrome, or superior or inferior vena caval obstruction. The differential diagnosis of an enlarged left superior intercostal vein includes mediastinal mass, especially lymphadenopathy, and aneurysm of the arch of the aorta.</abstract><cop>United States</cop><pub>Am Roentgen Ray Soc</pub><pmid>102147</pmid><doi>10.2214/ajr.131.4.599</doi><tpages>4</tpages></addata></record> |
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source | American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection |
subjects | Adult Dilatation, Pathologic Humans Male Middle Aged Radiography Thorax - blood supply Vascular Diseases - diagnostic imaging Veins |
title | The normal and abnormal left superior intercostal vein |
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