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Annual lung cancer screening (LCS) with low dose chest computed tomography in older current and former smokers (ie,, eligible adults) has been recommended since 2013. Uptake has been slow and variable across the United States (US). We estimated the LCS rate and growth at the national and state level between 2016-2018. The American College of Radiology's Lung Cancer Screening Registry (LCSR) was used to capture screening events. Population-based surveys, US Census, and cancer registry data were used to estimate the number of eligible adul