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Medium modifications of the electromagnetic spectral function in hadronic and quark-gluon matter are reviewed. A strong broadening of the meson, which dominates the spectral function in the low-mass regime, is quantitatively consistent with dilepton excess spectra measured in photoproduction off cold nuclei (CLAS/JLab) and in fixed-target ultrarelativistic heavy-ion collisions (NA45,NA60/CERN-SPS). The large excess observed by PHENIX at RHIC remains unexplained to date, but is most likely not due to emission from the Quark-Gluon Plasma. Connections to thermal lattice QCD promise progress in the search for chiral symmetry restoration.

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