Pleural dome suspension, oblique view.
The apex of the parietal pleura is
suspended in several ways. One of these is
the costo-pleuro-vertebral ligament, which
attaches to the first rib then runs
posteriorly as a local thickening of the
parietal pleura of the pleural dome to
attach anteriorly on the transverse
processes of the sixth and seventh cervical
vertebrae. The pleural dome is also
suspended by the suspensory ligament of
the lung, which connects the apex of the
pleural dome to the inferior surface of the
middle scalene muscle. Both of these
pathways transmit pleural strains to the
cervical vertebrae.