Normal and aneurysmal apex of the LV on angiography and CT

A normal LV angiogram (A) in the RAO projection shows a conical shape of the LV apex in systole (arrow). Image B shows an angiogram in the RAO projection with a dyskinetic aneurysmal bulge of the apex in systole (arrowhead). Image C is an axial CT image through the chest and shows a normal cone shape of the LV apex (thick arrow). Image D shows an aneurysmal bulge of the apex of the LV (dashed arrow).