Back to CT anatomy

Quick reference

CT anatomy cheat sheet

Vertex-to-toes slice landmarks, node stations, vessels, and nerves — derived directly from the interactive atlas.

Region-by-region landmarks
Axial

1. Brain — Vertex of skull

Identify lobes, ventricles, and brainstem on axial slices; the Circle of Willis and dural sinuses sit midline.

Organs: Frontal lobe, Parietal lobe, Occipital lobe, Lateral ventricles, Third ventricle, Corpus callosum, Basal ganglia, Thalamus, Brainstem (midbrain/pons), Cerebellum.

Vessels: Middle cerebral artery, Internal carotid artery, Superior sagittal sinus, Transverse sinus.

Lymphatics: Meningeal lymphatic vessels.

Axial

2. Neck

The carotid sheath triad (carotid artery, jugular vein, vagus nerve) is the landmark; level nodes track along the jugular chain.

Organs: Thyroid gland, Trachea, Esophagus, Submandibular gland, Parotid gland.

Vessels: Common / internal carotid artery, Internal jugular vein, Vertebral artery, External jugular vein.

Lymphatics: Deep cervical lymph nodes, Jugulodigastric node, Posterior triangle nodes.

Nerves: Spinal cord, Vagus nerve, Brachial plexus.

Bones: Cervical vertebral body.

Muscles: Sternocleidomastoid.

Axial

3. Face & Sinuses

Orbits, maxillary sinuses, and mandibular ramus anchor the slice; salivary glands and CN VII traverse the parotid.

Organs: Globes (eyes), Optic nerves, Maxillary sinuses, Ethmoid air cells, Nasal septum, Nasal turbinates, Tongue, Hard palate.

Vessels: Maxillary artery, Facial artery, Retromandibular vein.

Lymphatics: Preauricular / parotid nodes, Buccinator / facial nodes.

Nerves: Trigeminal nerve branches (V2/V3), Facial nerve (VII).

Bones: Mandible (ramus), Zygomatic arch.

Muscles: Masseter, Buccinator, Medial pterygoid.

Axial

4. Chest — Thorax

Five mediastinal landmarks — aortic arch, carina, pulmonary trunk, SVC, and esophagus — orient every thoracic slice; subcarinal (station 7) nodes sit below the carina.

Organs: Heart (left ventricle), Right atrium, Left lung, Right lung, Trachea / carina, Main bronchi, Esophagus.

Vessels: Ascending aorta, Descending aorta, Pulmonary trunk, Superior vena cava, Pulmonary veins, Azygos vein, Internal mammary vessels.

Lymphatics: Paratracheal lymph nodes, Subcarinal lymph nodes, Axillary lymph nodes.

Nerves: Spinal cord.

Bones: Sternum, Thoracic vertebral body.

Axial

5. Abdomen

Liver right, spleen left, kidneys retroperitoneal and flanking the vertebral body; aorta left of the IVC.

Organs: Liver, Gallbladder, Spleen, Stomach, Pancreas, Left kidney, Right kidney, Adrenal glands, Small bowel, Colon (hepatic/splenic flexure).

Vessels: Abdominal aorta, Inferior vena cava, Celiac trunk / SMA, Renal arteries / veins, Portal vein, Splenic vein.

Lymphatics: Para-aortic lymph nodes, Mesenteric lymph nodes, Celiac / porta hepatis nodes.

Nerves: Spinal cord / conus.

Bones: Lumbar vertebral body.

Axial

6. Lower Abdomen

Aorta bifurcates at L4; psoas and iliacus dominate the retroperitoneum; bowel loops fill the center.

Organs: Small bowel loops, Mesentery, Ascending colon, Descending colon, Ureters, Greater omentum.

Vessels: Aortic bifurcation / common iliac arteries, Common iliac veins, Inferior mesenteric artery, Gonadal vessels.

Lymphatics: Mesenteric lymph nodes, Common iliac lymph nodes.

Nerves: Lumbar plexus roots.

Bones: Lumbar vertebral body, Iliac crest.

Muscles: Psoas major, Iliacus, Rectus abdominis, Obliques / transversus, Erector spinae.

Axial

7. Pelvis

Bladder anterior, rectum posterior, reproductive organs between; obturator nodes are key for prostate and cervical staging.

Organs: Bladder, Prostate / uterus, Seminal vesicles, Rectum, Ovaries / falciform ligament.

Vessels: Common / external iliac artery, External iliac vein, Internal iliac vessels, Obturator artery / vein.

Lymphatics: External iliac lymph nodes, Internal iliac lymph nodes, Obturator lymph nodes, Sacral lymph nodes.

Nerves: Sacral nerve roots.

Bones: Sacrum, Iliac wing, Hip joint (acetabulum).

Muscles: Obturator internus, Piriformis, Psoas major.

Axial

8. Hip

Femoral head in acetabulum, neurovascular bundle under the inguinal ligament, sciatic nerve exits posteriorly.

Vessels: Femoral artery / vein, Profunda femoris artery, Obturator vessels.

Lymphatics: Inguinal lymph nodes, Obturator nodes.

Nerves: Sciatic nerve, Femoral nerve, Obturator nerve, Pudendal nerve.

Bones: Femoral head, Femoral neck, Acetabulum, Greater trochanter, Ischium, Pubic ramus.

Muscles: Iliopsoas, Gluteus maximus, Gluteus medius / minimus, Obturator externus, Hamstring origins.

Axial

9. Shoulder

Humeral head, glenoid, and rotator cuff; axillary nodes and brachial plexus cords surround the axillary artery.

Vessels: Axillary artery, Axillary vein, Circumflex humeral arteries, Thoracodorsal artery.

Lymphatics: Axillary lymph nodes, Supraclavicular nodes.

Nerves: Brachial plexus cords.

Bones: Humeral head, Glenoid (scapula), Scapula, Clavicle.

Muscles: Deltoid, Rotator cuff (supraspinatus), Pectoralis major, Latissimus dorsi.

Axial

10. Upper arm (Humerus)

Humerus center with brachial artery and median nerve flanking it; ulnar nerve passes behind the medial epicondyle.

Organs: Humerus.

Vessels: Brachial artery, Brachial veins, Profunda brachii artery, Basilic vein, Cephalic vein.

Lymphatics: Humeral / deep axillary nodes, Superficial lymphatics.

Nerves: Median nerve, Ulnar nerve, Radial nerve.

Muscles: Biceps brachii, Triceps brachii, Brachialis.

Axial

11. Forearm / Wrist

Radius lateral (thumb side), ulna medial; the median nerve runs between the flexors with the radial and ulnar arteries flanking.

Vessels: Radial artery, Ulnar artery, Cephalic vein, Basilic vein.

Lymphatics: Cubital lymph nodes, Forearm lymphatic channels.

Nerves: Median nerve, Radial nerve, Ulnar nerve.

Bones: Radius, Ulna, Carpal bones.

Muscles: Forearm flexors, Forearm extensors, Flexor tendons.

Axial

12. Elbow

Radial head and olecranon frame the joint; the median cubital vein in the cubital fossa is the classic venipuncture site.

Vessels: Brachial artery, Median cubital vein, Radial artery, Ulnar artery.

Lymphatics: Cubital nodes, Epitrochlear node.

Nerves: Median nerve, Ulnar nerve, Radial nerve.

Bones: Distal humerus (trochlea/capitellum), Radial head, Olecranon / proximal ulna, Coronoid process.

Muscles: Biceps tendon, Brachialis, Triceps tendon, Brachioradialis, Common flexor origin, Common extensor origin.

Axial

13. Hand

Metacarpals and phalanges with palmar arterial arches; thenar (median) and hypothenar (ulnar) intrinsic muscles.

Vessels: Superficial palmar arch, Deep palmar arch, Common digital arteries, Dorsal venous arch.

Lymphatics: Digital lymphatic channels, Dorsal hand lymphatics.

Nerves: Common digital nerves, Recurrent motor branch (median), Dorsal branches (radial/ulnar).

Bones: Metacarpals, Proximal phalanges.

Muscles: Thenar muscles, Hypothenar muscles, Interossei, Lumbricals, Flexor tendons, Extensor tendons.

Axial

14. Thigh (Femur)

Femur with quadriceps anterior, hamstrings posterior, adductors medial; femoral vessels anteromedial, sciatic nerve posterior.

Organs: Femur.

Vessels: Femoral artery, Femoral vein, Profunda femoris artery, Great saphenous vein.

Lymphatics: Deep inguinal lymph nodes, Superficial inguinal nodes, Thigh lymphatic channels.

Nerves: Sciatic nerve, Femoral nerve.

Muscles: Quadriceps (rectus femoris), Vastus lateralis, Vastus medialis, Hamstrings (biceps femoris), Adductors.

Axial

15. Knee

Femoral condyles, tibial plateau, patella, and menisci; popliteal vessels and nerves fill the fossa posteriorly.

Organs: Menisci, Anterior cruciate ligament, Posterior cruciate ligament.

Vessels: Popliteal artery, Popliteal vein, Genicular arteries.

Lymphatics: Popliteal lymph nodes, Superficial knee lymphatics.

Nerves: Tibial nerve, Common peroneal nerve.

Bones: Femoral condyles, Patella, Tibial plateau, Fibular head.

Muscles: Patellar tendon, Popliteus.

Axial

16. Lower leg (Calf)

Tibia medial, fibula lateral, with anterior/posterior/lateral compartments and their vessels and nerves.

Vessels: Anterior tibial artery, Posterior tibial artery, Peroneal artery, Great saphenous vein, Small saphenous vein.

Lymphatics: Deep calf lymphatics, Superficial calf lymphatics.

Nerves: Tibial nerve, Deep peroneal nerve, Superficial peroneal nerve.

Bones: Tibia, Fibula.

Muscles: Gastrocnemius, Soleus, Anterior tibial muscle, Extensor hallucis longus.

Axial

17. Ankle

Talus in the tibiofibular mortise; posterior tibial artery palpable behind the medial malleolus, Achilles tendon behind the calcaneus.

Vessels: Posterior tibial artery, Anterior tibial / dorsalis pedis, Peroneal artery, Great saphenous vein, Small saphenous vein.

Lymphatics: Retromalleolar lymphatics.

Nerves: Tibial nerve, Deep peroneal nerve, Sural nerve, Saphenous nerve.

Bones: Talus dome, Medial malleolus (tibia), Lateral malleolus (fibula).

Muscles: Achilles tendon, Tibialis posterior tendon, Flexor digitorum/hallucis tendons, Peroneal tendons, Extensor tendons.

Axial

18. Foot & Toes

Tarsals, metatarsals, and phalanges; dorsalis pedis on the dorsum, plantar arch on the sole.

Organs: Toe soft tissues.

Vessels: Dorsalis pedis artery, Plantar arch arteries, Great saphenous vein (dorsal), Small saphenous vein.

Lymphatics: Deep plantar lymph nodes, Superficial foot lymphatics.

Nerves: Medial plantar nerve, Lateral plantar nerve.

Bones: Metatarsals, Proximal phalanges, Distal phalanges (toes), Cuboid / cuneiforms, Calcaneus.

Muscles: Dorsal interossei, Extensor tendons.

Sagittal

19. Brain — Sagittal

Midsagittal profile shows the corpus callosum arching over the ventricle, brainstem, and cerebellum in one slice.

Organs: Frontal lobe, Parietal lobe, Occipital lobe, Corpus callosum, Lateral ventricle, Thalamus, Third ventricle, Brainstem, Cerebellum.

Vessels: Superior sagittal sinus, Internal carotid artery, Basilar artery.

Lymphatics: Meningeal lymphatic vessels.

Nerves: Spinal cord.

Coronal

20. Brain — Coronal

Coronal view pairs the ventricles symmetrically with the third ventricle midline between the thalami.

Organs: Frontal lobe, Parietal lobe, Temporal lobes, Corpus callosum, Lateral ventricles, Third ventricle, Basal ganglia, Thalamus, Brainstem.

Vessels: Middle cerebral artery, Internal carotid artery, Superior sagittal sinus.

Lymphatics: Meningeal lymphatic vessels.

Coronal

21. Neck — Coronal

Vertical airway column — larynx, trachea, thyroid — with carotid sheaths laterally and level nodes along the jugular chain.

Organs: Larynx, Trachea, Thyroid gland, Submandibular gland, Parotid gland.

Vessels: Common carotid artery, Internal jugular vein, External jugular vein, Vertebral artery.

Lymphatics: Deep cervical lymph nodes, Jugulodigastric node, Posterior triangle nodes.

Nerves: Vagus nerve, Brachial plexus, Spinal cord.

Bones: Cervical vertebral body.

Muscles: Sternocleidomastoid.

Coronal

22. Chest — Coronal

Aortic arch, carina, and both lung fields in one view; great vessels stack above the heart.

Organs: Heart (left ventricle), Right atrium, Left lung, Right lung, Trachea / carina, Main bronchi.

Vessels: Aortic arch, Descending aorta, Superior vena cava, Pulmonary trunk, Pulmonary veins.

Lymphatics: Paratracheal lymph nodes, Subcarinal lymph nodes.

Nerves: Spinal cord.

Bones: Thoracic vertebral body.

Sagittal

23. Chest — Sagittal

Sagittal chest shows trachea anterior to the esophagus, aortic arch, and sternum anteriorly with the spine posteriorly.

Organs: Heart (left ventricle), Trachea, Esophagus.

Vessels: Aortic arch, Ascending aorta, Pulmonary trunk, Superior vena cava.

Lymphatics: Paratracheal lymph nodes.

Nerves: Spinal cord.

Bones: Sternum, Thoracic vertebral body.

Coronal

24. Abdomen — Coronal

Liver and spleen in the upper field, kidneys paired below them, aorta and IVC flanking the midline.

Organs: Liver, Gallbladder, Spleen, Stomach, Pancreas, Left kidney, Right kidney, Adrenal gland, Small bowel, Colon.

Vessels: Abdominal aorta, Inferior vena cava, Portal vein.

Lymphatics: Para-aortic lymph nodes.

Bones: Lumbar vertebral body.

Muscles: Psoas major.

Coronal

25. Pelvis — Coronal

Bladder, reproductive organs, and rectum stack vertically with iliac vessels coursing along the pelvic brim.

Organs: Bladder, Prostate / uterus, Rectum.

Vessels: External iliac artery, External iliac vein, Internal iliac vessels.

Lymphatics: External iliac lymph nodes, Internal iliac lymph nodes, Sacral lymph nodes.

Nerves: Sacral nerve roots.

Bones: Iliac wing, Hip joint (femoral head), Sacrum.

Muscles: Obturator internus, Psoas major.

Quick lookups

Mediastinal & thoracic landmarks

Landmark
Where to find it
Why it matters
Carina
Midline where trachea splits into main bronchi
Anchor for station 7 subcarinal nodes
Aortic arch
Arches over the left main bronchus
Great-vessel landmark on every chest slice
Superior vena cava
Right of the ascending aorta, entering right atrium
Drains head, neck, and arms
Esophagus
Posterior mediastinum, behind the left atrium
Food passage; target for thoracic RT planning
Subcarinal nodes (station 7)
Directly below the carina
Key lung cancer staging station
Internal mammary vessels
Behind the anterior chest wall
Internal mammary node mapping in breast RT

Abdominal quick IDs

Structure
Position clue
Liver
Right upper quadrant, spans most of the upper abdomen
Spleen
Left upper quadrant, lateral to the stomach
Pancreas
Retroperitoneal, oblique across the midline
Kidneys
Retroperitoneal, flanking the lumbar vertebral body
Adrenal glands
Capping the upper pole of each kidney
Aorta vs IVC
Aorta left of midline; IVC right of midline
Aortic bifurcation
Approximately L4; confluence of iliac veins forms IVC at L5

Lymph node stations cheat

Node group
Drains / follows
Deep cervical (levels II–V)
Along the internal jugular vein and spinal accessory nerve
Paratracheal (level 4)
Flanking the trachea in the mediastinum
Subcarinal (station 7)
Below the carina
Axillary (levels I–III)
Breast, chest wall, and upper limb
Para-aortic
Flanking the abdominal aorta (retroperitoneum, paired organs)
External / internal iliac
Pelvic brim and pelvic viscera
Obturator
Obturator fossa — prostate and cervical staging
Inguinal
Leg, perineum, and lower trunk

Nerve quick reference

Nerve
Landmark relationship
Vagus (CN X)
Carotid sheath, between artery and vein
Brachial plexus
C5–T1 roots between the scalenes; cords surround the axillary artery
Phrenic
Runs anterior to the lung root to the diaphragm
Sciatic
Exits the greater sciatic foramen, posterior to the hip
Femoral
Between iliacus and psoas, lateral to the femoral artery
Recurrent laryngeal
Ascends in the tracheoesophageal groove — at risk in thyroid RT
Ulnar
Behind the medial epicondyle (cubital tunnel)
Tibial / common peroneal
Popliteal fossa; peroneal wraps the fibular neck