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OCR: Resident and Staff Physician Patient Education Chart Breast Self-Examination: Step 3 3. Lie on your back and put a pillow or towel under your left shoulder. Place your left hand under your head and, with the fingers of your right hand held together flat, press gently but firmly to feel the breast tissue. (For steps 4 through 6, you should feel for a lump or thickening.) Reprinted with permission from Resident and Staff Physician (c) 1991-92, 1993 by Romaine Pierson Publishers, Inc.