Presentation of the pathways into the right mediastinum via the inferior vena cava hiatus.
2013-04-17T01:18:35Z (GMT) by
<p>(<b>A</b>) The oblique sagittal plane shows the potential, cranial Route 12 (long arrow) from the retromesenteric plane (blue lines) and retrorenal plane (green lines) to the bare area of the liver, and further into the right mediastinum via the inferior vena cava hiatus from the medial inferior view on CVH2. (<b>B, C</b>) A 72-year-old woman with recurrent acute pancreatitis. Sagittal plane shows Route 12, in which the fluid drains from the bare area of the liver to the right mediastinum across the inferior vena cava hiatus (long arrow). The peripancreatic fluid in the mediastinum further develops to the pleural effusion and the right lower lobar lung consolidation. The axial CT image depicts the pancreatic fluid flows from the retromesenteric plane to the right retrorenal plane through the right fascial trifurcation (arrowheads) and the bridging septa (short arrow). A: inferior vena cava, B: right lung, C: right kidney, D: inferior vena cava hiatus.</p>