We present a case of a 50-year-old female with a 2-day history of back and abdominal pain who was discovered to have innumerable chronically retained acupuncture needles, which had migrated throughout her abdomen and pelvis.Although many of these needles were in precarious positions, including gewehr 91 the epidural space, renal parenchyma, small bowel, and vasculature, there was no evidence for acute injury.We also briefly discuss evidence for the magnetic resonance imaging compatibility of acupuncture needles.Although a rare complication, given trinity bay vodka the high frequency of acupuncture therapy in the United States, physicians must be aware of the potential for retained and migrated needles.