The application of 19F nuclear magnetic resonance imaging to the study of drug distribution in vivo is discussed. CB3988 (C2‐desamino‐C2‐methyl‐N 10‐propargyl‐2′‐trifluoromethyl‐5,8‐dideazafolic acid) is a fluorinated representative of a class of quinazoline an‐tifolates which act as inhibitors of thymidylate synthase and which are being evaluated for the treatment of human cancer. 19 F images were obtained in vivo from the abdomen of mice following intravenous injection of CB3988 (500 mg/kg). Time resolutions of 4 and 20 min were achieved for two‐ and three‐dimensional imaging, respectively. These images were consistent with the presence of high concentrations of drug (up to 26 mg/ml) in the gall bladder, urinary bladder, and small intestine, as confirmed ex vivo by extraction and HPLC analysis. The results indicate the potential value of 19F NMR imaging in pharmacokinetic Studies. © 1991 Academic Press, Inc. Copyright © 1991 Wiley‐Liss, Inc., A Wiley Company