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Home › Body Atlas › Glands & Lymphatics › Intercostal Lymph Nodes
Gland Chest

Intercostal Lymph Nodes

nodi lymphoidei intercostales

The intercostal lymph nodes lie near the heads and necks of the ribs at the back of each intercostal space. They drain the posterolateral chest wall, the parietal pleura and the vertebral column.

Anatomical Data

Structure & Secretions

LocationPosterior parts of the intercostal spaces, near the heads and necks of the ribs
Receives lymph from
  • Posterolateral chest wall
  • Parietal pleura
  • Vertebral column and back muscles
  • Lateral breast (some vessels)
Lymphatic drainage
  • Thoracic duct (upper spaces)
  • Cisterna chyli (lower spaces)
Biomechanics

Function & Actions

Filter lymph from the posterior and lateral thoracic wall and pleura.

Clinical Relevance

Clinical Notes

Breast cancer and pleural tumours occasionally spread to these posterior nodes. Their efferents from the lower spaces descend to the cisterna chyli, and those from the upper spaces join the thoracic duct, so they can carry disease between chest and abdomen. They are seen only on cross-sectional imaging.

Pathology

Common Injuries & Conditions

Intercostal Node Metastasis

Spread of breast, lung or pleural cancer to posterior intercostal nodes, seen on CT or PET.

Mesothelioma Nodal Spread

Involvement of intercostal nodes by malignant pleural mesothelioma.

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