Generally, lymph flows away from the tissues to lymph nodes and eventually to either the right lymphatic duct or the largest lymph vessel in the body, the thoracic duct.
22.
"The thoracic duct traverses Sibson's Fascia of the thoracic-inlet up to the level of C7 before turning around and emptying into the left ( major ) duct.
23.
Finally, he discovered through Doppler ultrasound a disease of the lymphatic system related to the intermittent obstruction of the cervical thoracic duct " The recurrent cervical swelling syndrome ".
24.
Activated lymphocytes pass into the blood stream via the thoracic duct and travel to the gut where they carry out their final effector functions . The maturation of B-lymphocytes takes place in the Peyer's patch.
25.
It passes beneath the aortic arch, crosses in front of the esophagus, the thoracic duct, and the descending aorta, and has the left pulmonary artery lying at first above, and then in front of it.
26.
The right bronchomediastinal trunk may join the right lymphatic duct, and the left the thoracic duct, but more frequently they open independently of these ducts into the junction of the internal jugular and subclavian veins of their own side.
27.
In similar pleural effusions, the fluid is blood in hemothorax ( as in major chest injuries ), pus in pyothorax ( resulting from chest infections ), and lymph in chylothorax ( resulting from rupture of the thoracic duct ).
28.
Structures passing through the thoracic outlet between the thorax and abdomen include the inferior vena cava and esophagus, both of which pass through the diaphragm, and the abdominal aorta and thoracic duct which pass through the diaphragm, through the aortic hiatus.
29.
It continues ascending on the left side of the vertebral column, and around the level of the ninth thoracic vertebra, it passes rightward across the column, behind the aorta, esophagus, and thoracic duct, to end in the azygos vein.
30.
The efferent vessels of the subclavicular group unite to form the subclavian trunk, which opens either directly into the junction of the internal jugular and subclavian veins or into the jugular lymphatic trunk; on the left side it may end in the thoracic duct.
