Cook pasta according to package directions, drain and set aside.

In large saute pan brown sausage until no longer pink, drain.

On medium/high heat add in your heavy cream and stir until it starts to boil.

Add in your cheese and reduce heat to a simmer until it starts to thicken slightly.

Lastly add in your pesto and stir until combined.

Add your noodles and toss to coat.

Sprinkle with additional parmesan cheese if desired.