• At level of 2nd Costal Cartilages
  • Level of lower border of T4
  • Above this level up to the Thoracic Inlet = Superior Mediastinum
  • Below this level = Inferior Mediastinum – divided into 3 parts by the Fibrous Pericardium – Anterior, Middle and Posterior
  • Landmarks at this level:
    • Bifurcation of the Trachea
    • Concavity of the Arch of the Aorta
    • Just above the bifurcation of the Pulmonary Trunk
    • Azygos Vein enters the Superior Vena Cava
    • Thoracic Duct reaches the Left Side of the Oesophagus
    • Ligamentum Arteriosum with the Left Recurrent Laryngeal Nerve recurving below it
    • Tracheobronchial Lymph Nodes
    • Superficial and Deep Parts of the Cardiac Plexus