This case report describes a 41-year-old male patient with chronic kidney disease on peritoneal dialysis presenting with upper abdominal pain and mild thigh numbness. CT chest demonstrated extensive myocardial calcifications and left atrial thrombus. This case emphasizes the clinical relevance of myocardial calcifications. especially in patients with end-stage renal disease. https://www.roneverhart.com/1800-Reposado-LAFC-Edition-Tequila/