Gout is a metabolic disorder caused by deposition of monosodium urate crystals in joints and soft-tissues. Gout classically affects peripheral joints such as the first metatarsophalangeal joint (podagra). Atypical presentation involves deposition in axial and other thoracic structures. Costochondral joint involvement is exceedingly rare and mimics infectious, inflammatory, or neoplastic aetiologies. The authors hereby, report the case of a 42-year-old male with poorly controlled diabetes and poo