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Fig. 4A —Contrast-enhanced thoracic CT scans in 63-year-old man evaluated for extension of right upper lobe carcinoma (360° rotation, no cardiac gating). Axial 1-mm-thick image at level of cardiac apex (window center: 50 H; window width: 350 H) shows aneurysm of left ventricular apex that was discovered incidentally on CT performed for investigation of exertional dyspnea. Aneurysm is characterized by spherical aspect of left ventricular apex. Involved myocardium (arrow) is thinned.