Gerald A. Miller Department of Physics, University of Washington We present a relativistic quantum mechanical treatment of the influence of opacity and refractive effects on the production of pions in relativistic heavy ion collsions. Our methods are applied to two-pion HBT interferometry and the determination of source radii. We are able to reproduce the observed radii and absolute values of pion spectra measured by the STAR collaboration. The inferred emission duration is substantial. The real part of the optical potential that describes the interaction of the outgoing pion with the dense matter system is s trong and attractive and this feature is consistent with the emission of pions from a system that has a restored chiral symmetry.