Cut sausage into 1/4" slices
Chop tomato
Slice green onions
Cook pasta according to package directions in pot
Drain pasta
Preheat skillet over medium-high heat
Saute sausage in preheated skillet for 5 minutes
Add cream and cajun seasoning
Bring to a boil
Immediately reduce heat to medium-low
Simmer for 4 minutes
Remove from heat
Add parmesan cheese
Add pasta
Mix completely
Garnish with chopped tomato and sliced green onion
Serve