The normal and abnormal left superior intercostal vein

A. C. Friedman, E. Chambers, Seymour Sprayregen

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

A study of 500 normal erect posteroanterior chest radiographs was undertaken to determine the incidence or 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.

Original languageEnglish (US)
Pages (from-to)599-602
Number of pages4
JournalAmerican Journal of Roentgenology
Volume131
Issue number4
StatePublished - 1978

Fingerprint

Veins
Dilatation
Thorax
Brachiocephalic Veins
Budd-Chiari Syndrome
Venae Cavae
Nipples
Inferior Vena Cava
Portal Hypertension
Motion Pictures
Thoracic Aorta
Aneurysm
Differential Diagnosis
Incidence

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

The normal and abnormal left superior intercostal vein. / Friedman, A. C.; Chambers, E.; Sprayregen, Seymour.

In: American Journal of Roentgenology, Vol. 131, No. 4, 1978, p. 599-602.

Research output: Contribution to journalArticle

Friedman, A. C. ; Chambers, E. ; Sprayregen, Seymour. / The normal and abnormal left superior intercostal vein. In: American Journal of Roentgenology. 1978 ; Vol. 131, No. 4. pp. 599-602.
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