In developing countries like India, tuberculosis (TB) is a significDnt public health problem. Нe reason behind this is widespread immigration, malnutrition and low immune status. Musculoskeletal tuberculosis accounts for 15% of all extra pulmonary localizations . Rib tuberculosis is an uncommon form of osteoarticular type of tuberculosis accounting for <5% of cases of bone and joint infection. Нe patients can present as isolated lesion without any primary foci in the lung parenchyma or other ribs. We hereby present a case of isolated tuberculosis over posterior 9th rib as the initial presentation without any lesion in the lungs.