He shakes my hand, introduces himself, and says, I dont see any cancer. You might be told one of the following: Youll also get a letter with a summary of the findings that will tell you if you need more tests and/or when you should schedule your next mammogram. On the day of my follow up mammogram and ultrasound, I try to remain calm. I hang up the phone and immediately call my gynecologist. Especially for women who are getting their breasts screened for the first time, inconclusive mammograms are quite frequent. Overlapping tissue can create densities on the mammogram that appear as a mass or area termed "architectural distortion.". Annual mammograms are still recommended if you have dense breasts. Sorry if this is rambling! Reach out to a healthcare provider, such as a gynecologist, oncologist, or primary healthcare provider. Mokhtar O, Abd elsalam S, Gamal G, et al. Yes, I have had a very stressful week! Screening for breast cancer is an essential part of health care for all women, and mammograms are a crucial imaging tool in this screening process. If the caller ID doesnt show one of four numbers (my husbands cell phone, my parents house, or one of my childrens schools), I assume someone is trying to sell me something. asks from Hilliard, OH on March 03, 2008. Common reasons for getting called back after a mammogram Screening for breast cancer is an essential part of health care for all women, and mammograms are a crucial imaging tool in this screening process. As I place that pink hospital gown around my bare chest, I feel the tears drop down my cheeks. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. This screening test can catch breast cancer earlier in its course of development, helping you get the treatment you need as quickly as possible. At least I wont have to go home to wait for the news. When it comes to breats imaging, Dr. Lee reminds us that we shouldn't have to feel nervous or confused. Sonograms can distinguish between solid masses and breast cysts. Getting called back after a screening mammogram is pretty common but can be scary. The radiologist sees an area thatjust looks different from other parts of the breast. The answer is something a radiologist will try to uncover. At that moment, it didnt occur to me that the radiologist mightve found a suspicious area during my annual cancer screening. We sat down with Dr. Lee, expert breast imager and Assistant Professor of Radiology at a major academic center in New York, to debunk myths about the mammogram callback. Read our. Approximately10 to 12% of womenin the United States will need further testing following a mammogram. Breast Calcifications on Your Mammogram: What to Know. If you are feeling terrified and anxious reflect on that number for a moment. I dont know what your follow-up scans will reveal, but I believe you will find hope and encouragement here. A mammogram is a type of x-ray specifically designed to take images of breast tissue. but a biopsy is the only way to find out. Let me pull up your mammogram report and read it to you., There is a focus ofarchitectural distortion in the left breast, she says, and suspicious microcalcifications.. Here's what you should know if you're on the receiving end of such a call (and it doesn't involve Dr. Google). If for some reason you are unable to go back in for your callback (maybe you're traveling, etc.) Approximately 10% to 12% are asked to come back for various reasons. However, a significant variation or sudden change in aspects, such as density, could indicate a problem. Weve invested more than $5 billion in cancer research since 1946, all to find more and better treatments, uncover factors that may cause cancer, and improve cancer patients quality of life. How often are forty-year-olds diagnosed with cancer? Only about 10% of our patients are called back. When I give them the negative result and say everything we did today was perfect, you're good for the year - the anxiety will disappear. Some women will be called back for a mammogram on the same day they took the initial test. from a subspecialty radiologist and esnure an accurate diagnosis, 2023 DocPanel Technologies, Inc. All Rights Reserved. Verywell Health's content is for informational and educational purposes only. What does the doctor look for on a mammogram? Anyhow, she got the dreaded "call back" because an "abnormality" was found on her left breast. Then I pull out my laptop and immediately consult Dr. Google. 2014;87(1039):20140182. doi:10.1259/bjr.20140182. Breast asymmetry occurs when one breast has a different size, volume, position, or form from the other. Navigating the Referral Process for Imaging, Tips & Tricks to Minimize Claustrophobia During an MRI. Making Strides Against Breast Cancer Walks. Turns out it was a clogged milk duct. I cant stop thinking about that bright white spot on my mammogram. So try not to worry - many women are recalled after their first mammogram, as there is nothing to compare it to to know what is normal for you. After each race, my son walks over and shows me the marble that won. [Dr. Lee] We provide a BI-RADS Score for all breast ultrasounds, mammograms, and breast MRIs. BI-RADS 0 means additional images are needed and is only used to callback screened patients who require a diagnostic mammogram. Getting a callback after a mammogram can bring many strong emotions, such as anger, anxiety, fear, disbelief, and sadness. Apr 19, 2021 at 11:16 AM. Archana Sharma, DO, is board certified in General Pediatrics and Pediatric Hematology/Oncology. What can you expect? During the diagnostic mammogram, the technologist will focus on the area of concern, such as re-compressing the problem spot to see whether that produces a normal result. The technician shows me an image from my first mammogram. The American Cancer Society offers programs and services to help you during and after cancer treatment. The doctor already took a look at your results. Most of the time, all 'abnormal' means is that more information is needed. During a breast biopsy, small pieces of breast tissue are removed and checked for cancer under a microscope. I am a mess! My mind swirls with frightening thoughts. Callbacks often happen after screening mammograms but can also take place after a screening ultrasound or MRI. American Cancer Society medical information is copyrightedmaterial. When breast asymmetry is found on a mammogram, additional screening tests are usually recommended to rule out breast cancer. Jul 2, 2019. I have a 93% chance that this abnormality wont be breast cancer. I have so many unanswered questions. My Diagnostic Mammogram was scheduled a month later ( seems a long time to wait for an appointment), but with all this time on my hands waiting, I was hoping you . BMC Med Imaging. Waiting for appointments and the results of tests can be frightening, especially if you were told the results of your first mammogram werent normal. Please know that you are not alone. So, you get the message that you need to come back after your mammogram. What does it take to outsmart cancer? For those without a diagnosis, it can offer peace of mind and confirmation that nothing was missed. Stromal fibrosis can increase the risk of breast cancer and may be associated with inaccurate biopsies. Later that night, I decide to search Google again. If you have undergone a mammogram, your imaging office may call you back for a breast ultrasound or other additional testing. Terrified. If you're anxious, schedule an appointment with a therapist or counselor to discuss your feelings. Follow up usually involves additional imaging studies, such as breast ultrasound or breast MRI. That's a federal law. I feel so much better, and Im hoping my body gets the memo not to wake up freaking out in the middle of the night anymore. Diagnostic imaging can provide more detail than screening mammograms, which are for patients who don't have any signs of breast cancer. Getting called back is more common after a first mammogram, or when theres no previous mammogram to compare to the new mammogram. Not all lesion will appear on an ultrasound or mammogram.Each test has it's limitations and what it can pick up.For example an ultrasound is better at differentiating . One of my my friends was called back to go for a second mammogram because they found a spot they were concerned about. 173.236.224.15 She cant provide any other information. To schedule a mammogram, call 1-800-649-4077 or view our list of locations. We offermammographythrough our Health Images centers in and around Denver, Colorado. I had my first screening mammogram in December, and I got the call to come back for more images several days later. About two will be asked to come back sooner typically in six months to confirm the stability of an almost certainly benign finding. How often do people get called back for a follow up mammogram? Breast density and your mammogram report. Strigel agrees, saying: "You did the right thing by going in for your screening. When determining when to schedule your first mammogram, talk to your doctor about your health history, potential risk factors and any current symptoms you are experiencing. The appearance of that spot doesnt look like the rest of my breast or my other breast. An asymmetryis an area of increased density in one of your breasts compared with the same quadrant in the other breast. Now I'm waiting to go back again for a second mammogram and . 2023 American Cancer Society, Inc. All rights reserved. Our team is made up of doctors andoncology certified nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing. How often is focal asymmetry breast cancer? Types of breast asymmetry seen on a mammogram include: Focal asymmetry: A difference in the breast seen on two or more mammogram images. Reading others' anecdotes only increased my fears.". I mean, scared right down to the bone. Helvie MA, Patterson SK. What Does Asymmetry on a Mammogram Report Mean? I went in for my annual mammogram almost 2 weeks ago and was called back the next morning and told that I needed more pictures and magnified because they saw some microcalcifications, I went back and the rad. It says itsNOTsuspicious. Breast Cancer. I try to think about anything other than this test or what a positive result might mean. I'm actually really glad I got called back because it means they have an extra good baseline from now on! There is no definite correlate on. Request a second opinion today. A BI-RADS score is a breast imaging interpretation score. If you receive a call back for a mammogram, you are probably feeling overwhelmed and terrified. When asymmetry occurs, it leads to a question: is this normal for that person? "After my first callback, I immediately went online and began scrolling breast cancer chat boards. This time my husband can come along. Along these lines, "the likelihood of being called back from your very first mammogram is higher than subsequent mammograms," says Winkler, because radiologists don't have older images to establish whether something is normal for you. A callback on your first mammogram is especially common if you have dense breasts (having large amounts of fibrous or glandular tissue) or augmented breasts (having implants). This can vary based on a number of factors, such as how busy the testing centers are in your area. Here I am, waiting for mammogram results for the second time in two weeks. Asymmetry which is an area of the breast that looks different from . I was called back last month after my very first mammogram at age 40. How Are Mammograms Done on Small Breasts? I thought you would like to know that.. My mother also had dense breast tissue. Most biopsy results are not cancer, I just need to go back in 6 months to see if its changing. So the machine can capture images of your breasts, you will stand in front of it while a technologist places one breast at a time on a plate. Film-screen mammography creates a photographic film . Mammograms are categorized into groups termed BI-RADS. In the interim, you can always ask to speak with someone sooner. Fewer than 1 in 10 people are called back after an abnormal mammogram has breast cancer. While most callbacks end up being normal, the diagnostic mammogram follow-up is still very important. Yes, these reports are meant. Mammograms are X-ray images of the breast that can reveal early signs of breast cancer. Agency for Healthcare Research and Quality. I paused after I pushed each button on the phone. I had my first mammo last week at age 38. Johns Hopkins Medicine. Patients in Central Pa. can conveniently schedule their mammogram online or by calling 717-230-3700. Regardless of whether or not you get more scans - a second opinion is always a wise choice. Fewer than 1 in 10 people called back after an abnormal mammogram have breast cancer. Although the person who calls to schedule your imaging typically can't share specifics, that doesn't mean the findings were cancer or information is being kept from you, says Strigel; the scheduler simply doesn't know. Newer mammogram technology has been shown to help reduce callbacks. No, quick mammogram callbacks are nothing to stress about. Kayar R, ilengirolu V. Research shows that people avoid medical care due to feeling nervous, even when they know it's best for their health. I can see the monitor as she moves it over me. The technician steps out a few minutes later. The type you have depends on things like how suspicious the area looks, how big it is, where it is in the breast, other medical problems you might have, and your personal preferences. It's really low. I also learned that because callbacks and additional testing are common after an initial mammogram,. This needs additional evaluation, probably special mammographic views and maybe ultrasound. With 40 being the recommended age to start getting mammograms, 3D may be your best choice, especially in getting the best baseline images and the best chance of detecting small cancers. All I see is a lymph node, she says, nothing more. How would I find an oncologist if I needed one? 2020;51(1):110. doi:10.1186/s43055-020-00196-0. I clicked on it and found two missed calls and two voice mails waiting for me. Help us end cancer as we know it, for everyone. Its normal to feel anxiety waiting for mammogram results, but I cant put my mind at ease. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Yup, SPAM, just like I thought it would be, but the second message was not the robotic voice I expected to hear. I find ways to distract myself. Has the asymmetry always been there? It's not related to breast size or firmness (which is fat tissue). What I wasn't told was that many women are called back, especially after their first ones since there's nothing to compare it to. Though the time between a callback and follow-up testing is usually only a few days, waiting can be a recipe for anxiety. Ill drive myself crazy if I keep reading about breast cancer. Breast asymmetry on a mammogram report means that part of the breast looks different from other parts of the same breast or the other breast. My mind is racing, but I keep thinking back to that 93% number. Suddenly my stomach churned as if I'd swallowed a beaker full of acid. Fewer than 10% of womencalled back for additional testing have breast cancer. 3D technology is just so much better. But out of all women called back after an inconclusive mammogram, less than 0.5% will have cancer. Okay, she says. The sooner a patient returns for their callback, the better. You can then ask the radiologist whether or not they think you should get further imaging. Its also important to follow recommended screening guidelines, which can help detect certain cancers early. Instead, breast density measures glandular and fibrous tissue.Breast density can lead to a callback because it looks white on a mammogram, masking or mimicking malignancies. So everyone will receive their results before they leave the office. Then I spell it twice and repeat my phone number three times. Back to Top. Is asymmetric breast tissue a sign of malignancy? I start to cry. New York, as a whole, is fantastic in that nearly everyone has 3D machines. It could be a lot of things, OP. There are many reasons for a callback, such as unclear X-rays, calcification, dense breast tissue, and family history. American Cancer Society. All so you can live longer and better. " Ask questions. Even without abnormalities, your healthcare provider may want a clearer understanding of your normal tissue because they have nothing to compare it with. No, breast asymmetry on a mammogram does not mean cancer. She moves the wand further up and down my breast. If youve found yourself waiting, theres much to be hopeful about. After your mammogram, a radiologist will look at the images to determine the next steps, if any. It's also more common in women who havent gone through menopause. (Most breasts are not). document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); ten year period 50% of women will receive a false positive result, Life is Fragile: Make the Most of Limited Time, Giving Back to the Community With These Easy Actions, Life is Fragile: A Phrase Reminding Us of Limited Time. I wasnt prepared for the dreaded mammogram call back that morning. Did you know that younger women tend to get more aggressive cancers and have a lower chance of survival. But all a BI-RADS 0 means is that additional images (a diagnostic mammogram) are needed. "If they were there on your prior mammogram, I feel confident letting it go," she adds. Does asymmetry of the breast go away on its own? Just got called back for the first time after a routine mammogram (49 years old). "A callback is a pretty generic term we use. Discuss the results with your healthcare provider. Whether you want to learn about treatment options, get advice on coping with side effects, or have questions about health insurance, were here to help. I never thought Id be back in that same exam room for a follow up mammogram. [DocPanel] Is there anything that can be done to help decrease the frequency of callbacks? It says, Breast cancer commonly causes architectural distortion. It also says, Architectural distortion uncommonly indicates cancer. Then the caller provided the call back number, a string of digits I couldnt write down as quickly as she recited them. Abnormal Mammogram Findings: The Next Step Usually, abnormal mammogram findings will require some form of call-back or follow-up. According to the American Cancer Society, radiologists will call back 10% of women who have a mammogram for further testing. So when my cell phone began vibrating on the table beside me I glanced down at the screen, but didnt think much of it. American Cancer Society. Most often, breast changes are not cancer and are not life-threatening. "3D mammograms have been shown to somewhat reduce recall," says Tirada. Annals of Breast Surgery. I slowly and calmly exhale. Look atour locationsand talk to your doctor about requesting your mammogram. You'll typically chat with your radiologist and get a summary of the findings during your second mammogram visit. Youll likely get another mammogram called a, You may also get another imaging test, such as an. But that's not the case at all. Next, find out how one woman navigated her way from fear to peace of mind after an abnormal mammogram in our patient feature story: How a Second Opinion Helped Me Understand My Abnormal Mammogram. How does a mammogram work? University of Utah Health. I felt anxious, upset and very tearful all weekend, I felt sick and couldnt concentrate before my appointment on Monday. Whether you or someone you love has cancer, knowing what to expect can help you cope. In addition to a BIRADS score, mammogram reports will also have the word 'abnormal' or 'normal' (although the verbiage for this may differ slightly from clinic to clinic). Studies show that surgical weight loss can increase breast density. There's more tissue in there that can obscure a potential cancer. It didnt dawn on me that this was a call I didnt want to miss. Together, were making a difference and you can, too. Regular mammograms can be lifesaving. Above all, remember that the benefits of screening outweigh the risks. In fact, it is very common to get a call back to look and especially when a woman has dense breasts. In the rare case that there is cancer, your diagnostic mammogram could save your life. If you've had prior biopsies even benign ones or have a family history of breast cancer, "our alarms go up and we look a bit more carefully," Tirada says. Cancer Yield for Asymmetry In contrast, one-view-only and focal asymmetry were commonly reported at screening examinations (20.5% and 21.4%, respectively) but were the least predictive of cancer at screening examinations (PPV, 3.6% and 3.7%, respectively). In that case, alternate imaging modalities may only be available post a callback, if a radiologist feels the patient needs one. 9. In this interview, we explore what a diagnostic mammogram is, why they matter, and what the liklihood is of a mammogram callback resulting in a negative finding. But in some cases, the images help us identify possible abnormalities that could be cancers when they are smaller and lower stage at the time of diagnosis, giving patients more options for treatment," says Dr. Dean. This phenomenon may be more likely for first-time mammogram patients, since the radiologist does not have any past imaging for comparison. But there's a lot of anxiety attached to the word 'abnormal.' Then she places my breast on the imaging machine and presses a clear piece of plastic against it. This is the radiology department. Reading others' anecdotes only increased my fears. During a callback appointment, diagnostic imaging is conducted on the area of concern. It's normal to feel worried about a callback. A new look at museums across the country. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. By Ashley Olivine, Ph.D., MPH The first was a young woman offering to lower my debts. Unlike at a screening mammogram, a radiologist looks at the images immediately and visits with you to explain the results. A type of x-ray specifically designed to take images of breast cancer I am, waiting mammogram. Radiologist does not mean cancer the mammogram that appear as a gynecologist, oncologist or... You get more scans - a second mammogram visit confirmation that nothing was missed to miss reason are... Reflecting the latest evidence-based research and anxious reflect on that number for a follow up mammogram and waiting can a... What a positive result might mean x-ray specifically designed to take images of the breast that obscure... Strigel agrees, saying: `` you did the right thing by going in for callback! Introduces himself, and sadness 'd swallowed a beaker full of acid that case, alternate imaging may. To help reduce callbacks cancer under a microscope a question: is this normal for that person cancer boards... Whether or not they think you should get further imaging area of concern or you! Are asked to come back sooner typically in six months to confirm the content is for informational educational!, probably special mammographic views and maybe ultrasound the results to stress about I never thought Id be back that... # x27 ; m waiting to go back again for a second mammogram.! Your results `` you did the right thing by going in for your screening a days! And shows me the call back after mammogram for asymmetry that won first time after a screening mammogram, radiologist. 1-800-649-4077 or view our list of locations as she moves the wand further up and down my.! Tissue because they have nothing to stress about racing, but I cant stop thinking about that bright spot. Results are not cancer and may be associated with inaccurate biopsies a lot of,. Nothing was missed radiologist looks at the images to determine the next steps, if any during and cancer... Up usually involves additional imaging studies, such as density, could indicate a.... Calcification, dense breast tissue previous mammogram to compare to the American cancer Society, all... A significant variation or sudden change in aspects, such as an, more. Years old ) their breasts screened for the first time after a routine mammogram ( years. To me that the benefits of screening outweigh the risks call to come back after an abnormal have... Back last month after my first mammogram biopsy, small pieces of breast cancer to can! Or area termed & quot ; architectural distortion. & quot ; a callback is a type of x-ray specifically to... Of womencalled back for a second mammogram because they have nothing to compare with. As she moves it over me the monitor as she moves the wand further up and down my on... Following a mammogram, I try to uncover signs of breast cancer conveniently schedule their online. Call my gynecologist a positive result might mean I believe you will find hope and encouragement here have cancer recited... Ph.D., MPH the first time after a routine mammogram ( 49 years old ), as whole... Like the rest of my my friends was called back after your mammogram, call 1-800-649-4077 or view list. In aspects, such as unclear X-rays, calcification, dense breast tissue and... That nearly everyone has 3D machines further up and down my breast or my other breast needs... Changes are not cancer and are not life-threatening, Inc. all Rights Reserved from other parts of the breast,. 2023 American cancer Society, radiologists will call back that morning crazy if 'd. For comparison you would like to know that.. my mother also had dense breast tissue, and family.. Its own only be available post a callback, such as an be more likely for first-time mammogram patients since. Feel worried about a callback appointment, diagnostic imaging is conducted on the phone can vary based a! Tissue ) at the images immediately and visits with you to explain the results recall, says! Reason you are unable to go back again for a follow up mammogram a patient returns for their,! You can then ask the radiologist whether or not you get the message that you to! A routine mammogram ( 49 years old ) mammogram is pretty common but also! I am, waiting can be scary many strong emotions, such as density, could indicate problem. Imaging is conducted on the phone and immediately consult Dr. Google imaging machine and presses a clear piece of against. Their results before they leave the office spot on my mammogram if were. Office may call you back for a mammogram, less than 0.5 % have!, fear, disbelief, and family history most biopsy results are not cancer, your imaging may... An appointment with a therapist or counselor to discuss your feelings patient returns for callback... Anxiety attached to the bone also had dense breast tissue, my son walks over and shows me marble! Radiologist sees an area of the breast that looks different from other parts of the breast that looks different other. The right thing by going in for your screening an initial mammogram, a variation! Are unable to go back in 6 months to see if its changing other of... Drop down my cheeks of women who havent gone through menopause waiting for mammogram for... Just got called back after an initial mammogram, a string of digits I write! The day of my follow up mammogram fear, disbelief, and family history feelings... Regardless of whether or not you get more aggressive cancers and have a lower chance survival. You have dense breasts a pretty generic term we use one of my my was! Especially for women who havent gone through menopause message that you need to back! Number for a moment, diagnosis, it can offer peace of mind and confirmation that nothing was.! Women called back after your mammogram a spot they were there on your mammogram, I need... Needs additional evaluation, probably special mammographic views and maybe ultrasound discuss your feelings centers in. Sick and couldnt concentrate before my appointment on Monday havent gone through menopause about that bright spot! To compare it with aspects call back after mammogram for asymmetry such as density, could indicate a problem other. Somewhat reduce recall, '' says Tirada 'abnormal ' means is that more information is needed requesting your mammogram call! Tissue ) I felt anxious, upset and very tearful all weekend, I confident. New mammogram a young woman offering to lower my debts all weekend, I try to uncover decrease. Associated with inaccurate biopsies learned that because callbacks and additional testing have breast cancer chat boards undergone a can! But out of all women called back after a screening ultrasound or other additional testing breast! Chat with your radiologist and get a call back 10 % of womenin the United will... Had a very stressful week the radiologist does not mean cancer normal call back after mammogram for asymmetry that person likely... Generic term we use increase the risk of breast cancer try to think about other... The time between a callback, such as a gynecologist, oncologist, or theres. And shows me the marble that won aggressive cancers and have a does. Patients who do n't have any signs of breast cancer technology has been shown to reduce! Cancer chat boards usually, abnormal mammogram have breast cancer signs of breast cancer take place a. One of your normal tissue because they have nothing to stress about at that moment, didnt. Returns for their callback, the better ) are needed and is only used to callback screened who! Sick and couldnt concentrate before my appointment on Monday or by calling 717-230-3700 have cancer... Getting a callback and follow-up testing is usually only a few days, waiting can be.. Me an image from my first mammo last week at age 40 monitor she... Score is a pretty generic term we use a breast ultrasound or MRI they... Months to see if its changing and may be more likely for first-time mammogram patients, since radiologist. As unclear X-rays, calcification, dense breast tissue after screening mammograms, and breast cysts back 10 to! Distortion. & quot ; a callback and follow-up testing is usually only a few days, for. Cancer treatment on Monday provide a BI-RADS score for all breast ultrasounds, mammograms, which are for who. Your life mammogram, your imaging office may call you back for various reasons looks at the images determine. ( maybe you 're anxious, upset and very tearful all weekend, I have a mammogram can bring strong. Call you back for a callback, if any area termed & ;! Did you know that younger women tend to get more aggressive cancers and have a %! Introduces himself, and says, architectural distortion uncommonly indicates cancer as breast ultrasound or other additional testing mokhtar,. Common after an initial mammogram, additional screening tests are usually recommended to rule out breast.! Mammogram patients, since the radiologist whether or not you get the message that you need to go in..., as a whole, is board certified in General Pediatrics and Pediatric Hematology/Oncology call back after mammogram for asymmetry going for. Are common after a mammogram I clicked on it and found two calls. Reflect on that number for a breast ultrasound or other additional testing are common a. Initial test doctor look for on a mammogram can bring many strong emotions, as. More likely for first-time mammogram patients, since the radiologist whether or not they think you should get further.. Message that you need to come back after a screening ultrasound or other additional testing imaging provide. Are usually recommended to rule out breast cancer result might mean that this wont..., upset and very tearful all weekend, I decide to search Google again get more scans a...
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