parasternal lymph nodes parasternal lymph nodes the parasternal lymph nodes (or sternal glands) are placed at the anterior ends of the intercostal spaces, by the side of the internal thoracic artery. parasternal lymph nodes2. axillary lymphatic plexus4. cubital lymph nodes (not part of the lymph node drainage of the breast)5. superficial axillary (low axillary)6. deep axillary lymph nodes7. brachial axillary lymph nodes8. interpectoral axillary lymph nodes (rotter nodes)10. paramammary or intramammary lymph nodes11. parasternal lymph nodes (internal mammary nodes)axillary lymph nodes2. apical axillary3 & 4. lateral (surface) axillary5. central axillary6. brachial axillary7. interpectoral8. paramammary9. parasternal (internal mammary)detailssystemlymphatic systemdrains tobronchomediastinal trunkidentifierslatinnodi lymphoidei parasternalesta98a13.3.02.003ta25250fma71760anatomical terminology they derive afferents from the mamma; from the deeper structures of the anterior abdominal wall above the level of the umbilicus; from the upper surface of the liver through a small group of glands which lie behind the xiphoid process; and from the deeper parts of the anterior portion of the thoracic wall. their efferents usually unite to form a single trunk on either side; this may open directly into the junction of the internal jugular and subclavian veins, or that of the right side may join the right subclavian trunk, and that of the left the thoracic duct. the parasternal lymph nodes drain into the bronchomediastinal trunks, in a similar fashion to the upper intercostal lymph nodes.