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Heat oven to 375 degrees.
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In a medium saucepan, boil water and cook noodles.
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In a separate pan, cook the sausage.
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After it's cooked through, add the minced garlic and dry minced onions, cook for 1 minute more.
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Add cans of crushed tomatoes and pesto, stir and heat until hot, about 5 minutes.
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Drain cooked pasta and dump in large bowl.
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Add mozzarella and half of the Parmesan to the hot noodles, stir.
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Dump tomato and meat sauce over the noodles and stir to combine.
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Dump mixture into sprayed/greased 9x13 baking dish.
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Sprinkle the rest of the Parmesan on top.
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Bake for about 30 minutes, until cheese melts and heated through.