Aim: To share our experience in diagnosing and managing an asymptomatic, long-standing impacted foreign body in the neck. Background: Head and neck is not an uncommon site for penetrating foreign body impaction. Nonspecific minor injuries may undergo unrecognized but vascular injuries due to sharp foreign bodies may have devastating outcomes. Most of these foreign bodies are recognized and retrieved in the early post-trauma period. Our patient had a long-standing foreign body which was incidentally discovered on a radiological scan. Case description: A 28-year-old patient was incidentally discovered to have a long-standing, asymptomatic, impacted metallic foreign body in the neck while he was undergoing magnetic resonance imaging (MRI) of the hip. The foreign body was surgically removed. Conclusion: Impacted metallic foreign bodies may lie asymptomatic for long durations of time without causing any morbidity to the patient. Clinical significance: The decision for removing the asymptomatic impacted foreign body can be taken on a case-to-case basis. We present a foreign body neck case to demonstrate how it can interfere with the radiological diagnosis of other diseases and needs to be retrieved.