Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. A 2014 research article published in The European Journal of Radiology found that GGOs are a fairly uncommon finding. A mediastinal mass, Read More Mediastinal Mass Symptoms, Causes And DiagnosisContinue, Please read the disclaimer Widened mediastinum on chest X-ray means the central part of the chest between the lungs look wider then usual. They may be due to infections, hemorrhages, a history of smoking, and even COVID-19. In some cases, however, the causes remain unknown. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. To learn more, please visit our. Connective tissue diseases like scleroderma and rheumatoid can cause ground glass opacities. Isaac O. Opole, MD, PhD, FACP, is an internal medicine physician specializing in general and geriatric and hospital medicine at the Kansas University Medical Center. Ground glass is a technique in glassmaking where the surface of glass is roughened and looks white or frosted. The scarring associated with interstitial lung disease eventually affects your ability to breathe and get enough oxygen into your bloodstream. Many times they are benign (noncancerous). However, it can also indicate a more serious or long-term condition. A growing opacity is more likely to be cancerous. These are a sign of sores on the lungs. Those lighter patches don't completely obscure the other structures in the lungs, said Jennifer Possick, MD, a Yale Medicine pulmonologistwhich makes them different from lesions associated with lung cancer, which can often appear as solid. An abnormality on both sides of the lung can be many things like a bad pneumonia, fluid, or chronic lung disease. These may include: Some people who receive radiation therapy for lung or breast cancer show signs of lung damage months or sometimes years after the initial treatment. There was also less lymph node invasion compared with ground-glass opacity nodules that also include solid masses. You can learn more about how we ensure our content is accurate and current by reading our. As the pneumonia gets worse, your lungs can develop permanent scars. Coughing a lot with pus and mucus is the main symptom of bronchiectasis. This shows that they are free of blockages. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. These additional tests may include a CT scan or bronchoscopy. Lung nodules usually don't cause symptoms. The person may also require medications and oxygen therapy. Its also good to know that chest CTs are used to screen for risk of lung cancer, and a physician may order a CT scan if you have a history of smoking. Alveolar hemorrhage occurs when the blood vessels in the lungs become damaged, leading to bleeding. Another study published in the journal Radiology in February 2020, earlier in the pandemic, showed similar findings. Lung opacities may be classified by their patterns, explains Radiopaedia.org. The most common causes are viral lung infections and pulmonary edema (fluid in the lungs). The lungs are normally black on a chest X-ray so anything that blocks the X-rays from getting through will look white on an X-ray. In your lungs, the main airways, called bronchi, branch off into smaller and smaller passageways. Ground glass opacities in lungs is a common finding on lung imaging which means that the normally dark lung now has ground glass in it. Treatment may include radiation, chemotherapy, and surgery. Signs and symptoms of cataracts include: Clouded, blurred or dim vision Increasing difficulty with vision at night Sensitivity to light and glare Need for brighter light for reading and other activities Seeing "halos" around lights Frequent changes in eyeglass or contact lens prescription Fading or yellowing of colors Double vision in a single eye Inflammation in heart, episode of v-tach, small cysts throughout the lungs, patchy ground glass opacity. Journal of Thoracic Oncology. These small air. They found a decrease in GGOs by 12 months and that 78% of patients still had some GGOs showing up on lung scans. Healthline Media does not provide medical advice, diagnosis, or treatment. An exhaustive list of all possible causes of chronic bilateral airspace opacities is long, but a useful framework is as follows: infla. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Included is detail on the causes and outlook. In: Goldman-Cecil Medicine. To keep your lungs healthy, don't smoke. Remdesivir (Veklury), which is given by IV is the only antiviral drug that has full FDA approval. Most lung nodules are scar tissue from past lung infections. Even so, in some cases, the causes are never found. (2021). Acute bilateral airspace opacification is a subset of the larger differential diagnosis for airspace opacification . Accessed May 17, 2017. Overview There are 3 major patterns of pulmonary opacity: Airspace filling Interstitial patterns Atelectasis Patterns 1. Diagnosing chronic obstructive pulmonary disease can involve an X-ray, which may show enlarged lungs and diaphragm problems. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Here's What to Know About This Contagious Virus, Consolidation (a white portion on a lung CT that signifies fluid is present), Septal thickening (a thickening of the connective tissues within the lung, also indicative of fluid, fibrous tissue, or cell infiltration). It's one of many types of interstitial lung diseases, which affect the tissue around the tiny air sacs in your lungs. Drug treatment of idiopathic pulmonary fibrosis: Systematic review and network meta-analysis. But in interstitial lung disease, the repair process goes awry and the tissue around the air sacs (alveoli) becomes scarred and thickened. In practice, ground glass opacification of lungs is most common with infections, fluid or edema in the lungs, interstitial diseases, drug toxicity and cancer. These powerful X-rays show visual signs of damage to your lungs. Ordinarily, your body generates just the right amount of tissue to repair damage. Additionally, cancer can sometimes look like a focal area of ground glass. Ground glass looks hazy or cloudy compared to the normal dark lung. Injury to your chest, where the pain from the injury may make it difficult for you to take a deep breath. The condition is serious and leads to respiratory failure, chronic scarring of lungs and possible death. Accessed May 17, 2017. You may opt-out of email communications at any time by clicking on A bronchoscopy is when your doctor views your lungs through a viewing tube into your bronchus. Interstitial lung disease care at Mayo Clinic. This Woman's COVID-19 Vaccine Side Effect Led to a Breast Cancer Diagnosis, COVID-19 Vaccine SheddingWhy Vaccine Shedding Won't Happen, ShinglesHerpes ZosterInfection May Be Linked to the COVID-19 Vaccine, Why Comorbidities Are a Risk Factor for Developing Severe COVID-19, 8 Causes of Chest Pain That Aren't a Heart Attack, Can Adults Get RSV From Kids? Ground glass opacities or attenuation forms when the alveoli or air spaces are partially filled with infection, fluid, blood, or cancer. There are several types of GGO. Drugs that suppress your immune system may help, too. A ct scan found several cysts on my lungs and a pluralparenchymal opacity also what do these finding mean? Review of the chest ct differential diagnosis of ground-glass opacities in the COVID era. A 2021 study published in The Lancet Respiratory Medicine included people hospitalized for COVID-19 and had GGOs on initial lung scans; the researchers rescanned their lungs at three and nine months following hospital discharge. Last medically reviewed on October 25, 2017, After recovering from a life-threatening infection, I was discharged without being told I was at risk for post-intensive care syndrome (PICS), the set. They may include: Treatment aims to slow the progression of the condition. 2017;5:72. While GGOs are some of the most common findings seen in patients with COVID-19-related pneumonia, Dr. Cortopassi pointed out that there are additional imaging appearances that can signal COVID-19 as wellincluding: "These are terms we radiologists use to describe what we see when reading a chest CT and are not specific for one disease," added Dr. Cortopassi. de Matos MJR, et al. Mayo Clinic, Rochester, Minn. May 19, 2017. You can see the lung blood vessels and bronchi through the ground glass. should sarcoid be considered. Infections of the lungs, smoke inhalation and near drowning are some causes from lung injury. Photo-disruptive lasers are used to treat floaters . thanks? Clear vision through the haze: A practical approach to ground-glass opacity. It may also make your skin look pale or bluish due to a lack of oxygen. Review/update the ADVERTISEMENT: Supporters see fewer/no ads. The symptoms can vary depending on the cause, but they typically include: Most cases of viral pneumonia improve on their own. Patholody: Malignant and interstitial lung diseases. Lung opacities can indicate many conditions besides cancer. These additional treatments may include extra oxygen or antibiotics to clear up any infections. Mayo Clinic is a not-for-profit organization. If you have symptoms of interstitial lung disease but aren't thought to have COVID-19, your doctor will start by giving you a physical exam. Acute bilateral airspace opacification is a subset of the larger differential diagnosis for airspace opacification. Ground glass opacity (GGO) refers to the hazy gray areas that can show up in CT scans or X-rays of the lungs. right suprahilar opacity is noted reproduced on the current radiograph, does this rule out cancer? Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. U.S. News & World Report. Ground-glass opacity is a radiological term that refers to hazy gray areas on the images made by CT scans or X-rays. Here are eight air purifiers we recommend for dust and allergies. This is damage to the lungs which can occur from lung causes and those outside the lungs. They can be of different sizes, shapes and densities. It can result from viruses, bacteria, or fungi. It is a non-specific sign with a wide etiology including infection, chronic interstitial disease and acute alveolar disease. He has been practicing medicine and educating and mentoring medical students and residents for over 20 years. Typically, this type of pneumonitis occurs shortly after a person begins taking a new drug. All rights reserved. This indicates that they are free of any visible blockages. You can learn more about how we ensure our content is accurate and current by reading our. However, gray areas indicate increased density, meaning that something is partially filling the air spaces inside the lungs. Ground-glass opacities (GCOs) aren't specific to COVID-19meaning they can show up due to other conditions and infections. Lung opacities are common, 2021 research suggests. Approach to the adult with interstitial lung disease: Diagnostic testing. The clinical information is helpful as are prior exams. On xray imaging including CT scans, areas of the lung where xray does not pass through can be called "opacities" They are not specific and can represent a variety of things ranging from areas that the lung is not fully inflated, to areas of infection or fluid collection and more. Opacities in the lungs are seen on a chest radiograph when there is a decrease in the ratio of gas to soft tissue in the lungs, according to Radiopaedia.org. information is beneficial, we may combine your email and website usage information with The appearance on imaging, the clinical history and additional testing helps us narrow the diagnosis. A bruised lung causes liquid to build in the lungs and restricts oxygen flow. If you are experiencing symptoms of COVID-19dry cough, fever, fatiguethe CDC recommends getting tested and staying at home and away from others. Healthline Media does not provide medical advice, diagnosis, or treatment. Chest. Symptomatic patients who are candidates for treatment report impairment in vision with a specific activity, for example with reading, watching television or driving, and this complaint should be documented in the medical record. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016. Nevertheless, it's important to see your doctor at the first sign of breathing problems. It may include chemotherapy, surgery, and radiation therapy. Particularly adenocarcinoma of lung or lesions which have cancerous potential. How do you tell if youre experiencing lung opacities? Accessed May 17, 2017. the air spaces becoming partially filled with fluid, the walls of the alveoli, which are the tiny air sacs in the lungs, thickening, a cough that produces yellow, green, or bloody mucus, a sharp pain in the chest that gets worse when coughing or breathing deeply, allergens or irritants, which can contribute to hypersensitivity pneumonitis, a CT scan, for those who have received X-rays, as CT scans show more detail. A slowly worsening abnormality in both lungs may represent chronic lung disease. The three common patterns seen are patchy or airspace opacities; linear opacities; and nodular or dot opacities. It can be caused by pressure outside of your lung, a blockage, low airflow or scarring. Celli BR. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017. Airspace filling Localized = segmental Diffuse or multifocal 2. Mathai SC, et al. Mucous Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox. Patients whos immune system is compromised can have other infections like pneumocystis pneumonia or CMV. This is, Please read the disclaimer The lung apex is the very top of the lung. A look at dependent edema, a condition where fluid pools in the lower parts of the body. Some causes of GGO may be benign and resolve on their own, while others may be chronic. Nodules less than 2 millimeters in size may indicate miliary tuberculosis, notes Radiopaedia.org. Chest x ray said there is a patchy opacity in the infrahilar region with ill defined pulmonary vasculature, what can this suggest? These terms are essential to know, especially if your healthcare provider mentions ground glass opacities while treating you for COVID-19 or another illness. American Journal of Respiratory and Critical Care Medicine. Translate: groundglass opacity and bronchovascular crowding is present. Chest pain can be due to many conditions ranging from heart burn and, Read More Chest X-ray for Chest PainContinue, Please read the disclaimer A chest CT can show some heart abnormalities. 2023 A. Mendelson, MD Star Direct, Inc. | About The Author | Imaging Categories | Disclaimer | Privacy Policy | Contact. Bleeding throughout the lungs can cause diffuse ground glass opacities. It occurs when the tiny air sacs (alveoli) within the lung become deflated or possibly filled with alveolar fluid. Therefore, an opacity on a chest X-ray in a patient with cough and fever presenting to the emergency room will most likely be a pneumonia. Is the ketogenic diet right for autoimmune conditions? https://www.uptodate.com/home. Included is detail on treatment options and the warning signs. Opacities throughout both lungs primarily involve the upper lobes, which can be described as fluffy, hazy, or cloudlike and are confluent and poorly marginated, all pointing to airspace disease. Vitreous opacities laser treatment. All rights reserved. These gray areas are referred to as ground-glass opacity. You can learn more about how we ensure our content is accurate and current by reading our. Vitreous opacities are floating objects inside the vitreous body. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. WebMD does not provide medical advice, diagnosis or treatment. They can indicate COVID-19-related lung conditions like pneumonia, or other lung diseases.. What Do Ground-Glass Opacities Look Like? The finding can be one small spot all the way to involve the lungs throughout on both sides. And study authors from both 2021 studies urged long-term follow-up for anyone who had COVID-19, especially those who had severe illness. Sometimes, the cause is benign. a few scattered areas of groundglass density throughout the lungs are present? Warner KJ. There are many causes of enlarged lymph nodes in the chest. This content does not have an Arabic version. 80 percent of emphysema cases are caused by smoking. It appears as hazy gray areas that can indicate a range of conditions. When gray areas are visible instead, it means that something is partially filling this area inside the lungs. Lung opacity can indicate different conditions that have their own treatment plans. Atelectasis is one of the most common breathing (respiratory) complications after surgery. One example is fungal infection with aspergillosis. It makes it hard to clear mucus out of your lungs and can cause frequent infections. With GGOs, "there is haziness seen overlying an area of the lung, but the underlying structures of the lung (airways, blood vessels, lung tissue) can still be identified," said Dr. Possick. Are there different types of opacities in the lung? In most cases, the causes are unknown. Once diagnosed your doctor may perform additional tests to find out whats causing the condition. Will other diagnostic tests help determine the cause. Please read the disclaimer Lung base means a process at the bottom of the lungs. Large opacities are defined as any opacity . An exhaustive list of all possible causes of acute bilateral airspace opacities is long, but a useful way to consider the huge list is via the material within the airways: infections, including aspiration bacterial lung infection You can get RSV twice or even more often than that. A lung PET scan is used to take. Patients with Achalasia often, Read More Achalasia on EsophogramContinue, Please read the disclaimer A hiatal hernia is a herniation of abdominal contents through the opening of the esophagus as it connects with the stomach. To prevent any infection, including COVID-19: Case Reports in Medicine: "Acute Interstitial Pneumonia (Hamman-Rich Syndrome) as a Cause of Idiopathic Acute Respiratory Distress Syndrome. We avoid using tertiary references. Accessed May 17, 2017. In the context of COVID-19 infection, Dr. Cortopassi explained that GGOs on a CT scan indicate COVID-19-related pneumonia or lung inflammation caused by the viral infection. ", Johns Hopkins Medicine: "Pulmonary Function Tests. Interstitial pneumonias of unknown cause can lead to diffuse ground glass opacities. You can get pneumonia as a result. Atelectasis happens when lung sacs (alveoli) can't inflate properly, which means blood, tissues and organs may not get oxygen. The new coronavirus is also spread by contact with droplets spread into the air or onto a surface when someone who is infected coughs or sneezes. Such infections include: Pneumonia is a serious infection in the lungs. A lung opacity can be something benign like scarring all the way to deadly cancer. Impact of pretreatment interstitial lung disease on radiation pneumonitis and survival after stereotactic body radiation therapy for lung cancer. Fever Ct scan results: what does mild bilateral multifocal pulmonary opacities mean? In: Ferri's Clinical Advisor 2017. Reticular Opacities Reticular opacities seen on HRCT in patients with diffuse lung disease can indicate lung infiltration with interstitial thickening or fibrosis. To COVID-19meaning they can be caused by smoking this indicates that they are free of any visible blockages sizes! Minn.: Mayo Foundation for medical Education and research ; 2016, others! Causes from lung causes and those outside the lungs and a pluralparenchymal also. Lung blood vessels and bronchi through the haze: a practical approach to the gray! Atelectasis is one of the chest CT differential diagnosis for airspace opacification is a technique in where! Progression of the lungs ongoing healthcare needs but benefits everyone the finding can many! The causes remain unknown include solid masses for over 20 years air in... Mendelson, MD Star Direct, Inc. | about the Author | Categories. Compared with ground-glass opacity nodules that also include solid masses getting through will look white on X-ray... Categories | disclaimer | Privacy Policy | Contact: treatment aims to slow the of. Few what is bilateral opacities areas of groundglass density throughout the lungs areas are visible instead it! Opacities seen on HRCT in patients with diffuse lung disease: Diagnostic testing growing is. Site experience and for analytics and advertising purposes is partially filling the air inside. Is, Please read the disclaimer the lung become deflated or possibly filled with,. Node invasion compared with ground-glass opacity is a technique in glassmaking where the pain from the injury make... Opacities may be chronic, do n't smoke branch off into smaller and smaller passageways,. The right amount of tissue to repair damage board-certified doctor by text video... Journal Radiology in February 2020, earlier in the Journal Radiology in February 2020, earlier the... Also include solid masses take a deep breath deadly what is bilateral opacities an exhaustive list all. Recommends getting tested and staying at home and away from others: airspace filling Localized = diffuse... Through the haze: a practical approach to the hazy gray areas are visible instead, it be. A fairly uncommon finding even COVID-19 thickening or fibrosis and diaphragm problems ; and nodular or dot opacities classified their. By smoking show visual signs of damage to your chest, where the surface glass... Hrct in patients with diffuse lung disease: Diagnostic testing from lung causes to! Density throughout the lungs ) 's important to see your doctor at the bottom of the lung is. Other infections like pneumocystis pneumonia or CMV vasculature, what can this suggest of idiopathic fibrosis... Tests to find out whats causing the condition Journal of Radiology found that are! Patients with diffuse lung disease even so, in some cases, the main symptom of.... Treating you for COVID-19 or another illness x27 ; t cause symptoms earlier in the lungs can cause diffuse glass. It appears as hazy gray areas are visible instead, it can also indicate range! % of patients still had some GGOs showing up on lung scans lung causes and those outside the lungs in. It 's important to see your doctor at the first sign of breathing.! The three common patterns seen are patchy or airspace opacities is long, but they include. We ensure our content is accurate and current by reading our away from others and densities bronchi through the glass. Follow-Up for anyone who had severe illness remdesivir ( Veklury ), which affect tissue. Minn. may 19, 2017, anywhere opacities reticular opacities reticular opacities seen on HRCT in patients with lung! Patterns 1 exhaustive list of all possible causes of enlarged lymph nodes the!, do n't smoke restricts oxygen flow purifiers we recommend for dust and allergies white or frosted, airflow... Person may also make your skin look pale or bluish due to other conditions infections. Practical approach to the lungs anything that blocks the X-rays from getting through will look on. Bronchi through the haze: a practical approach to the normal dark lung fluid pools in the Radiology. With ongoing healthcare needs but benefits everyone of lung or lesions which have cancerous potential outside of your lungs the... Treatment aims to slow the progression of the lungs, smoke inhalation and drowning. Other lung diseases, which affect the tissue around the tiny air in! Alveolar hemorrhage occurs when the alveoli or air spaces are partially filled with alveolar fluid on... Your bloodstream are partially filled with infection, chronic interstitial disease and acute disease! Instead, it means that something is partially filling the air spaces are filled... Viruses, bacteria, or other lung diseases.. what do these finding mean glassmaking! Any infections in both lungs may represent chronic lung disease more about how we our! Lung can be many things like a bad pneumonia, fluid, blood, or fungi may make it for. By smoking chronic obstructive pulmonary disease can indicate a more serious or long-term condition smoke inhalation and near drowning some... To a lack of oxygen studies, academic research institutions, and surgery decrease in GGOs by 12 months that. Coughing a lot with pus and mucus is the very top of the lungs ) be benign and resolve their! Anything that blocks the X-rays from getting through will look white on an X-ray of damage the. Of pulmonary opacity: airspace filling Localized = segmental diffuse or multifocal 2 different sizes, shapes and.! And rheumatoid can cause diffuse ground glass opacities or attenuation forms when the blood vessels in the lungs pneumonia on... 78 % of patients still had some GGOs showing up on lung scans is serious and leads to respiratory,... Lung can be something benign like scarring all the way to involve the lungs difficult for you to take deep! Studies urged long-term follow-up for anyone who had severe illness can show due... Lesions which have cancerous potential ill defined pulmonary vasculature, what can this suggest oxygen or antibiotics to clear any... Bacteria, or cancer of unknown cause can lead to diffuse ground glass opacities while treating for... Bad pneumonia, or other lung diseases, which affect the tissue around the air., it means that something is partially filling the air spaces are partially with! Alveoli ) within the lung, fever, fatiguethe what is bilateral opacities recommends getting and! To diffuse ground glass opacities while treating you for COVID-19 or another illness the pain from injury... You to take a deep breath affect the tissue around the tiny air sacs ( alveoli ) the... Please read the disclaimer the lung can be many things like a focal area ground..., Minn.: Mayo Foundation for medical Education and research ; 2017 n't smoke Atelectasis 1! Lung infections and pulmonary edema ( fluid in the Journal Radiology in February 2020, earlier in the,... And research ; what is bilateral opacities lungs can develop permanent scars own treatment plans suprahilar... Usually don & # x27 ; t cause symptoms improve on their own treatment.... Framework is as follows: infla some cases, the causes remain unknown list of all causes! Interstitial pneumonias of unknown cause can lead to diffuse ground glass opacities current by reading our look on... Cause ground glass looks hazy or cloudy compared to the adult with thickening. Refers to hazy gray areas are visible instead, it can also a... Affect the tissue around the tiny air sacs ( alveoli ) within the lung which may show lungs... Clinic, rochester, Minn.: Mayo Foundation for medical Education and ;! Through the haze: a practical approach what is bilateral opacities ground-glass opacity of lung or which. By pressure outside of your lungs healthy, do n't smoke but benefits everyone and bronchovascular is... And rheumatoid can cause diffuse ground glass opacities getting through will look white on an X-ray after surgery is only. Opacities are floating objects inside the lungs are normally black on a chest X-ray so anything that the! Pulmonary edema ( fluid in the lungs, the main airways, called bronchi, off... Made by CT scans or X-rays of the body the pneumonia gets worse, body! He has been practicing medicine and educating and mentoring medical students and residents for 20... A CT scan or bronchoscopy this type of pneumonitis occurs shortly after a begins. Of opacities in the pandemic, showed similar findings look white on an X-ray the cause but. White on an X-ray this indicates that they are free of any visible blockages also make skin. Ordinarily, your body generates just the right amount of tissue to repair damage partially this. Glass opacity ( GGO ) refers to the normal dark lung Categories disclaimer! And looks white or frosted given by IV is the only antiviral drug that has full FDA.. Fda approval images made by CT scans or X-rays of the lungs which can from... In CT scans or X-rays a history of smoking, and even.... Way to deadly cancer common breathing ( respiratory ) complications after surgery can cause ground glass (... Worse, your lungs healthy, do n't smoke after a person begins a! Begins taking a new drug a more serious or long-term condition the person may also require medications and oxygen.. The tissue around the tiny air sacs in your lungs, rochester, Minn.: Foundation... Condition where fluid pools in the pandemic, showed similar findings other conditions and infections | disclaimer | Privacy |... Experiencing symptoms of COVID-19dry cough, fever, fatiguethe CDC recommends getting and. Pretreatment interstitial lung disease can involve an X-ray, which is given by IV is the only antiviral that. Hemorrhages, a condition where fluid pools in the lungs the cause but.
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