Smooth walled chronic LV aneurysm on gross pathology and CT

A gross pathology specimen (A) of a chronic apical LV aneurysm shows a smooth, white, and fibrosed endocardium (A, arrow). A CT scan through the heart without contrast (B) shows a chronic apical LV aneurysm with fat replacement (arrows) in the scar due to a prior apical infarction. Image C is a CT scan through the heart with intravenous contrast, and shows a smooth walled apical aneurysm (arrow).