On the magnetic resonance imaging (MRI) of the thoracic spine, abscess formation and total destruction of C6 and C7 vertebral bodies were seen. Severe cord compression at the same level with a suspicious myelopathy was also seen. Partial destruction of the posterior half of the C5 and T1 vertebral bodies were noted. Abscess formation without destruction of the T2 and T3 vertebral bodies were observed. Combined discitis of the intervertebral discs between T1, T2 and T2, T3 were seen. Subligamentous spread of abscesses from C5 to T5 in the anterior aspect and C4 to T1 in the posterior aspect were noted. Mediastinal extension of subligamentous abscesses were seen, especially on the right side.