Gas exchange impairment can be assessed with MR imaging of HP 129Xe in the three compartments of the lung: airspace (A, D), tissue barrier (B, E), and red blood cells (C, F). Arrows in F indicate diminished 129Xe uptake in red blood cells (RBC) due to inflammation and fibrosis caused by bleomycin. The thickening of blood gas barrier, confirmed by histology slides, slows down the 129Xe transfer to gas space. Adapted and reprinted with permission from (Driehuys, Cofer et al. 2006). Copyright 2006 National Academy of Sciences, USA.