Cook the fettuccine pasta according to package instructions until al dente. Drain and set aside.
In a large skillet, heat the olive oil over medium heat. Add the minced garlic and red pepper flakes, sautéing for about 1 minute until fragrant.
Add the shrimp to the skillet and cook for 2-3 minutes, or until they turn pink and opaque. Season with salt and pepper.
Stir in the cherry tomatoes and cook for another 2 minutes until they start to soften.
Pour in the heavy cream and bring to a gentle simmer. Stir in the Parmesan cheese until melted and smooth.
Add the cooked fettuccine to the skillet, tossing to combine. Stir in the fresh basil and lemon juice.
Serve immediately with lemon wedges on the side.