Cisterna chyli

The cisterna chyli (or cysterna chyli, and etymologically more correct, receptaculum chyli) is a dilated sac at the lower end of the thoracic duct in most mammals into which lymph from the intestinal trunk and two lumbar lymphatic trunks flow. It receives fatty chyle from the intestines and thus acts as a conduit for the lipid products of digestion. It is the most common drainage trunk of most of the body's lymphatics. The cisterna chyli is a retro-peritoneal structure. In humans, it is located posterior to the abdominal aorta on the anterior aspect of the bodies of the first and second lumbar vertebrae (L1 and L2). There it forms the beginning of the primary lymph vessel, the thoracic duct, which transports lymph and chyle from the abdomen via the aortic opening of the diaphragm up to the junction of left subclavian vein and internal jugular veins. In dogs, it is located to the left and often ventral to the aorta; in cats it is left and dorsal; in guinea pigs it runs to the left and drains into the left innominate vein.Scheme showing relative positions of primary lymph sacs.Deep lymph nodes and vessels of the thorax and abdomen (diagrammatic).The relations of the viscera and large vessels of the abdomen.Lymphatic system. Thymus and spleen are clearly visible.Cisterna chyli (arrow), adjacent to the azygous vein (curved arrow). Normally not visible on CT; this is an 83 male who had a CT for follow-up of gastrointestinal stromal tumour.