Coronary artery disease (CAD) is a leading cause of mortality in women, especially after menopause. Research has showed that cardiovascular risk increases 2–3 years after menopause and within 10 years, women have nearly equivalent cardiovascular risk as compared to men.1 Coronary artery calcium (CAC) scoring via non-contrast cardiac commuted tomography (CT) allows for early detection of subclinical atherosclerosis progression and is useful in risk stratification.