The calculated distance (air line) between Medicina-Buda and San Pietro in Casale is approximately 19 miles respectively 31 kilometers.
By car or train, the actual journey to San Pietro in Casale is certainly longer, as only the direct route (as the crow flies) between Medicina-Buda and San Pietro in Casale has been calculated here.
Air line (approximately)
31 kilometers
17 nautical miles