Data from the national Lung Cancer Screening Trial in 2010 showed that yearly screening with low dose CT scans of heavy smokers and ex-smokers could reduce lung cancer specific mortality by over 20% in a 3 year period. This study was terminated prematurely because of the huge improvement in survival that was seen in patients who were screened. Had the study been allowed to continue it is likely that an even larger benefit would have been seen. The Michigan Thoracic Institute will offer a comprehensive annual physical and radiological evaluation on a yearly basis to screen for early lung cancer and to encourage cessation of cigarette use and to optimize pulmonary status in patients with known emphysema.