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Lemierre′s syndrome is a form of septic thrombophlebitis characterized by internal jugular vein thrombosis and septic emboli caused by Fusobacterium species which follows a spell of pharyngotonsillits. We highlight a case of 16 year old female, a known case of lupus nephritis presenting with Lemierre′s syndrome. A brief review of imaging findings on various imaging modalities with an emphasis on classical computed tomographic features of the disease is presented.