Transient emission at energies near 1 MeV has been reported by previous experiments on time scales of weeks to months from the Galactic center, the Crab Nebula, and Cyg X-1, and on shorter time-scales from NGC 4151 and Cen A. The spectra of these events call into two broad classes: a broad line-like feature centered near 1 MeV, and continuum emission (or a very broad feature) extending from ∼600 keV up to several MeV. These features have been interpreted theoretically in terms of emission from hot pair-dominated plasmas, which may be the necessary positron source implied by reports of narrow e - e + annihilation lines from Cyg X-1 and the Galactic center