Male, 59 years of age with no family history and no symptoms, came in for a follow up calcium score scan. A non–contrast CT (Cardiac Gating) scan was performed. Green represents the calcium in the left main coronary artery, red represents calcium in the left anterior descending coronary artery, and blue represents the calcium in right coronary artery. The total calcium score for this patient was 6088, which indicated extensive atherosclerotic plaque burden and places the patient in the 99th percentile for his age and gender. Usually, a calcium score over 400 represents high likelihood of at least one significant coronary blockage. Visual assessment of the coronary arteries reveals severe diffuse calcification in all vascular territories, warranting an emergency angioplasty for this patient. The score, chart, and images below were provided by 3DQ LAB.