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While a standard cigarette pack typically contains 20 cigarettes in the U.S

By other people, theres a lotStardust, Moonlight in Vermont, anything Hank Williams did, Bob Wills

Bryan as he appears in the photos taken by the Tampa Bay Times

Pack Years = # of packs smoked each day x # of years smoked For example, 2 packs per day for 10 years (2 x 10 =20) has 20 pack years of smoking, whereas pack a day for 20 years (1 x 20 = 20) also has 20 pack- years of smoking