Mnemonic

Thoracic Vertebral Level Landmarks

A memory aid for the vertebral level of the main thoracic structures.

Expansion

T1 inlet, T4/5 sternal angle, T8 caval, T9 xiphisternum, T10 oesophagus, T12 aorta

Expansion

Level Landmark
T1 Thoracic inlet; superior border of the manubrium at T2/T3
T2 Suprasternal notch, approximately
T4/T5 Sternal angle: carina, aortic arch limits, azygos arch, mediastinal division
T8 Caval opening: inferior vena cava and right phrenic nerve
T9 Xiphisternal joint
T10 Oesophageal hiatus: oesophagus and vagal trunks
T12 Aortic hiatus: aorta, azygos, thoracic duct

The pattern to notice is that the three diaphragmatic openings sit at even numbers going down, 8, 10, 12, while the sternal angle at T4/T5 is the single most useful reference in the thorax.

Adding the neighbouring landmarks completes the picture: the cricoid cartilage and the start of the trachea and oesophagus at C6, and the aortic bifurcation at L4.