CT
Axial C+ arterial phase
Coronal C+ arterial phase
Large (9.6 x 9.1 cm) aneurysm extends from an 11 mm defect in the posterior aspect of the aneurysmal inferior left ventricular wall with adjacent fatty metaplasia. The aneurysm displaces the left ventricle superiorly and there is surrounding stranding in the epicardial fat. More superiorly in the anterior wall is a 7 mm region of wall thinning, possibly the site of further aneurysm development.
Mixed calcified and non-calcified atheroma is present throughout the coronary arteries.