LV aneurysm with CHF arrhythmia, pacemaker on chest x-ray and CT scan

A chest x-ray in the P-A projection shows a calcified left ventricular aneurysm (between arrows). A biventricular pacemaker is present. Image B is an axial image through the calcified aneurysm of the LV apex (arrow). A coronal reconstruction of the CT scan (C) shows a calcified ovoid aneurysm (arrow).