NOT a content of Rectus sheath among the following is

**Core Concept**
The rectus sheath is a fibrous compartment that encloses the rectus abdominis muscle in the abdominal wall. It is formed by the aponeuroses of the external and internal oblique muscles and the transversus abdominis muscle. The contents of the rectus sheath include the rectus abdominis muscle, the pyramidalis muscle, and the superior epigastric vessels.

**Why the Correct Answer is Right**
The rectus sheath is generally considered to extend from the xiphoid process to the pubic crest, primarily receiving contributions from the lower six thoracic nerves (T7-T12). The rectus abdominis muscle, along with its associated structures, is innervated and supplied by these lower thoracic nerves. The superior epigastric artery, a branch of the internal thoracic artery, also enters the rectus sheath at the level of T7. On the other hand, the nerve supply for T6 is primarily derived from the seventh thoracic nerve, which is not within the rectus sheath.

**Why Each Wrong Option is Incorrect**
**Option A:** **Pyramidalis** - This muscle is indeed a content of the rectus sheath, as it is a small, triangular muscle that lies anterior to the rectus abdominis muscle and is innervated by the third lumbar nerve.

**Option B:** **Superior epigastric artery** - This artery is also a content of the rectus sheath, as it enters the sheath at the level of T7 and supplies the rectus abdominis muscle.

**Option C:** **T12** - This thoracic nerve is a content of the rectus sheath, contributing to the innervation of the rectus abdominis muscle.

**Clinical Pearl / High-Yield Fact**
The rectus sheath does not extend above the level of T10, which is why the seventh thoracic nerve is not a content of the sheath. Remembering the extent of the rectus sheath is crucial for identifying the correct nerves and blood vessels that supply the rectus abdominis muscle.

**Correct Answer:**
✓ Correct Answer: D. T6.