43-year-old gentleman complaining of high grade fever, cough, and chest pain was investigated with chest radiographs and helical chest CT scan and subsequently diagnosed with intrathoracic ribs. Unenhanced chest CT, volume rendered-3D images, coronal view in (a) and coronal oblique view in (b) reveal fusion of anterior aspects of the T2 and T3 vertebral bodies (short black arrow), a supernumerary second rib (thin, short, and obliquely oriented) with predominantly fibrous (non-ossified) proximal and distal parts originating from the second costovertebral neoarticulation (short white arrow), and the obliquely oriented bifid arm of the third rib coursing into the thoracic cavity (long white arrow).