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So, depending on your individual risk factors, your doctor may recommend that you make the choice to get screened if: Youre 50 to 80 years old (though some may recommend stopping at 77 years old) And you have a smoking history of at least 20 pack years (more on this below) And you still smoke or you quit within the last 15 years How to calculate your pack years Multiply how many packs a day you smoke (assuming 20 cigarettes per pack) by how many years youve smoked: If you smoked 1 pack a day for 15 years, that's 1 times 15