Because of the penetrating ability of the radiation used in nuclear medicine, metallic lead is widely used as radiation shielding. However, this shielding may present an insidious health hazard because of the dust that is readily removed from the surfaces of lead objects. The lead dust may become airborne, contaminate floors and other nearby surfaces, and be inadvertently inhaled or ingested by patients. We determined if the quantity of lead dust encountered within nuclear medicine departments exceeded Environmental Protection Agency (EPA) standards. Methods: For lead dust quantification, professional lead test kits were used to sample fifteen 1-ft 2 sections of different surfaces within the department. Four samples were collected once per week from each site. The samples were then submitted to a National Lead Laboratory-accredited program for a total lead measurement. Lead contamination (mg/ft 2 ) for each of the 60 samples was compared with the EPA standards for lead dust. Results: Lead contamination was present at 6 of the 15 sites, and of 60 samples, 18 exceeded the EPA standard of 50 mg/ft 2 . Conclusion: Lead contamination is present within nuclear medicine departments, and corrective measures should be considered when dealing with pediatric patients. A larger series needs to be conducted to confirm these findings. Because of the penetrating ability of the radiation used in nuclear medicine, shielding is necessary. Lead and some of its alloys are generally the most cost-effective shielding materials to protect against the effects of g-and x-rays. The properties of lead that make it an excellent shielding material are its density, high atomic number, level of stability, ease of fabrication, high degree of flexibility in application, and availability (1). The most common shielding objects used in nuclear medicine are lead bricks and lead shields for syringes containing radioactive materials. Lead bricks are usually found within the radiopharmacy and are used to shield against higher radiation levels. However, other lead shields that contain the patient's dose can be found within patient areas. Unfortunately, lead may present an insidious health hazard to pediatric patients because of the lead dust that is readily removed from the surface of lead objects. Although the density of lead dust is high, it may still become airborne, contaminate floors and other nearby work surfaces, and be inadvertently inhaled or ingested (2). Lead dust liberated within the imaging areas may be available to the exploring fingers of pediatric patients.Lead dust is a major source of lead exposure in children. Lead dust is taken in through the lungs and gastrointestinal tract. Because children have a higher respiratory rate than adults do, children tend to respire and absorb more airborne lead. After absorption, lead enters the child's bloodstream, where it becomes a powerful and versatile toxin. Lead can affect the central and peripheral nervous systems, bone marrow, kidneys, myocardium, and the endocrine and immune systems. The onl...