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<h3>Introduction</h3> Coronary artery disease has consistently upheld its status as the foremost cause of mortality on a global scale. Coronary calcification plays a pivotal role in the advancement of coronary heart disease. The patterns and extent of calcification in coronary arteries serves as indicators of its prognosis. The exploration of risk factors influencing coronary calcification findings in Non-contrast Thoracic CT scans has been limited in a few studies. Hence, this study was undertaken to determine the potential association between cardiovascular risk factors and coronary calcification. <h3>Purpose</h3> This study aims to determine the relationship between cardiovascular risk factors and coronary calcification findings on Non-Contrast Thoracic CT imaging <h3>Methods</h3> Categorically unpaired comparative analytic type research will be conducted using non-experimental study methods without intervention. The research will be carried out retrospectively, utilizing a cross-sectional study design. Data for the research will be extracted from the medical records of patients who underwent non-contrast CT-Thoracic between January 2020, and December 2020. <h3>Result</h3> From a total of 1213 samples, coronary calcification was identified in 239 (19.6%) cases. Individuals with coronary calcification exhibited an older age compared to those without. Specifically, the mean age for the two groups was 59.51 ± 13.5 years and 39.77 ± 13.4 years, respectively. A significant majority of individuals with coronary artery calcification (CAC) comprised males, accounting for 70.6% of the CAC subjects. The CAC group exhibited a higher prevalence of hypertension (30.3% vs. 4%), diabetes (13.9% vs. 6.5%), dyslipidemia (30.3% vs. 4%) and a slightly elevated percentage of smokers (1.3% vs. 0.9%) compared to those without CAC. Conversely, there was a higher occurrence of chronic kidney disease in the non-CAC group, registering at 11.3%, in contrast to 4.3% in the CAC group. Additionally, overweight and obesity exhibited a greater prevalence in the non-CAC group, accounting for 18.4% compared to 16% in the CAC group. A multivariate analysis revealed a statistically significant association between risk factors such as age, hypertension, diabetes mellitus, and the presence of more than one risk factor, with the occurrence of coronary artery calcification. <h3>Conclusion</h3> Coronary calcification findings on non-contrast thoracic CT are associated with cardiovascular risk factors, including advanced age, hypertension, diabetes mellitus, and the presence of overlapping risk factors (more than one risk factor). <h3>Conflict of Interest</h3> -