text: Safe Pulmonary Scintigraphy in the Era of COVID 19 One of the major effects of the COVID 19 pandemic within nuclear medicine was to halt performance of lung ventilation studies due to concern regarding spread of contaminated secretions into the ambient air A number of variant protocols for performing lung scintigraphy emerged in the medical literature which minimized or eliminated the ventilation component due to the persistent need to provide this critical diagnostic service without compromising the safety of staff and patients We have summarized and reviewed these protocols many of which are based on concepts developed earlier in the history of lung scintigraphy It is possible that some of these interim remedies may gain traction and earn a more permanent place in the ongoing practice of nuclear medicine 