Radiological evaluation of the aortic-pulmonic window

Knowledge of the roentgen anatomy of the aortic-pulmonic window will minimize confusion of pathologic and normal radiographic appearances. When deep intrusion of lung into the window is seen or when the window is outlined by far within it, gross enlargement of ductus nodes or masses in this area can be excluded with a reasonable degree of certainty. If masses or lymph nodes are present in the window, the mediastinal pleura "closing" on its lateral side will show on abnormal configuration with convexity directed laterally. Medial extension of masses or enlarged lymph nodes may cause impression on the left lateral wall of the esophagus and may compromise the left recurrent laryngeal nerve.