The concerto is in 4 movements and lasts 25 minutes. • Make the thin air sing • Dream of falling • What ails you? • Ink the silence Saariaho cites the trumpet parts from her first concerto,
Graal Théâtre (1994) for violin and orchestra. The first movement is an
exposition of the entire material. In the second movement, trumpet glissandi express Saariaho's dreams. The third movement refers to the monthly
MRI scans, glissandi and overpressured noises lead to a cadence with shouting. The last movement, Ink the silence, is an "accompanied trumpet solo moving forward through an orchestral landscape". The trumpet breathes, hums, screams and sings. ==Orchestration==