A 10-year-old unvaccinated healthy female with a history of sickle cell trait and enuresis presented to the emergency department complaining of progressive midline back pain for 2 weeks and restricted neck flexion for several days. Pain was exacerbated by movement and no preceding trauma was reported. Conservative treatment consisting of heat and cold packs, massage, acetaminophen, and ibuprofen was unable to adequately provide relief. The patient also demonstrated lower extremity paresthesia and inability to ambulate on examination, but full motor strength. Emergency department course was remarkable for tachycardia and tachypnea. Initial physical examination demonstrated restricted neck flexion without tenderness or swelling. Her back was tender to palpation over the left lower paraspinal muscles with slight decreased range of motion. Initial laboratories were significant for a mildly elevated ESR of 17 mm/h and CRP of 5.23 mg/L. Initial X-rays showed disc calcification without any fractures []. Ketorolac was administered which improved neck flexion. The patient was admitted to the hospital for further workup. Hospital course continued with ketorolac and acetaminophen overnight which reduced her pain. Repeat physical examination was notable for positive Brudzinski and Kernig sign, abnormal gait, and nuchal rigidity with total neck extension worrisome for possible meningitis. Neurological examination was otherwise normal and nonfocal. Empiric treatment with ceftriaxone and vancomycin was started. Lumbar puncture was deferred for magnetic resonance imaging (MRI) due to concerns of a possible epidural abscess or space-occupying lesion. MRI of brain, cervical, and thoracic spine was performed under general anesthesia, showing disc calcification with herniation causing spinal cord compression of T4-T6. The discs were involved at T4/5 and T5/6, with a flattened T5 vertebrae posteriorly, and hypointense signal indicative of calcification []. Neurosurgery was consulted and recommended computed tomography (CT) of the thoracic spine [] with plans for possible surgical decompression and exploration the following day. CT confirmed T4/5 and T5/6 disc calcification in the anterior epidural space causing severe stenosis with compression and thinning of the cord. No fractures were seen. Diagnosis was made as pediatric IVDC based on a combination of imaging findings and patient history. Antibiotics were discontinued and medical management with ibuprofen and diazepam taper was recommended instead of surgery. Endocrinology workup for metabolic bone disease was unremarkable. The patient was discharged and advised for neurosurgical follow-up in 1 month. The patient reported to the clinic 9 days after hospital discharge with marked improvement of symptoms. She reported moderate back pain, but denied any difficulty ambulating, bowel or bladder incontinence, or paresthesia. No neurological deficits were observed on physical examination. Diazepam taper, acetaminophen, and ibuprofen were given to additionally alleviate her pain. One month repeat, MRI showed significant improvement of disc herniation and stenosis []. The T4/5 disc remained unchanged, but T5/6 disc herniation had decreased. The patient had complete resolution of symptoms. Six months repeat, MRI imaging showed complete resolution of epidural calcification and stenosis. The T4/5 and T5/6 discs still displayed some calcification, but herniation had completely resolved []. The patient remained symptom free at this time.