Mnemonic

Lung Mediastinal Impressions

A memory aid for the grooves on the mediastinal surface of each lung.

Expansion

Right lung is grooved by the azygos vein and superior vena cava; the left by the aortic arch and descending aorta

Expansion

Right lung

  • Groove for the azygos vein, arching above the hilum
  • Groove for the superior vena cava and right brachiocephalic vein
  • Groove for the oesophagus, behind the hilum
  • Small cardiac impression, mostly right atrium

Left lung

  • Large cardiac impression, with the cardiac notch and lingula
  • Prominent groove for the aortic arch, arching above the hilum
  • Groove for the descending thoracic aorta
  • Groove for the left subclavian artery

The pattern is logical: the great arteries mark the left lung and the great veins mark the right, matching the position of each vessel in the mediastinum.