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An 80-year-old woman with a history of breast cancer status post radiation therapy, paroxysmal atrial fibrillation, and congestive heart failure was referred to our institution for evaluation of a giant left circumflex (LCx) coronary artery aneurysm with fistulous communication to the coronary sinus. The patient initially presented with shortness of breath and non-ST elevation myocardial infarction associated with anterolateral T-wave inversion on ECG (Figure 1). Chest radiography showed a dense structure with a circular silhouette at the projection of the superior right mediastinum at the location of the right atrium in the posterior-anterior view and in the posterior mediastinum in the lateral view (Figure 2). She underwent cardiac catheterization, which showed no significant obstructive epicardial coronary artery disease. However, the angiogram revealed a large LCx coronary artery aneurysm with fistulous communication to …