We report on the tests of a prototype (MediSPECT) system developed at University & INFN Napoli, for Single Photon Emission Computed Tomography (SPECT) imaging on small animals with a small Field of View (FoV) and high spatial resolution. MediSPECT is a SPECT imaging system based on a 1-mm-thick CdTe pixel detector, bump-bonded to the Medipix2 CMOS readout circuit operating in single-photon counting. The CdTe detector has 256×256 square array of pixels arranged with a 55 μm pitch, for a sensitive area of 14×14 mm 2 . In its present version, this system implements a single detector head, mounted on a rotating gantry. For preliminary testing and calibration of the acquisition equipment and image reconstruction algorithms, 90 projections of a γ-ray point source ( 109 Cd) through a single pinhole (diameter 0.4 mm; radius of rotation about 2.5 cm; focal length about 4.5 cm) were acquired for 20 min each in a step-and-shoot mode. Capillaries, 800 μm in diameter, were arranged in a Y-shape to form a more complex phantom ( 125 I, 1 mm pinhole diameter, 45 projections, each acquired for 25 min). Images were reconstructed with a custom algorithm implementing standard OS-EM with center of rotation correction and spatial resolution of 0.2 mm over a FoV of 2 mm was obtained.