Pyogenic spondylitis involves a broad spectrum of structures around the spine including the vertebra (vertebral osteomyelitis), discs (septic discitis) and epidural abscess. Symptoms may include fever, pain, sensory-motor deficits, and obtundation. Fever is a symptom, however, may not be common as it occurs in less than of patients. It may affect any aspect of the spine, with the cervical spine been the least affected. Magnetic resonance imaging (MRI) is critical for early diagnosis and extensively used for diagnosis. Our case presents a lady who was referred for an MRI of the neck following neck pain for over 3 months.