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ABSTRACT A lung cavity is an air containing space surrounded by a wall of variable thickness{1} Cavitary lung lesions are commonly encountered on imaging,while the cause of pulmonary cavities can be varied depending on its etiology like infection,which may be bacterial or viral{2} .Similarly fungal infection like Aspergillus,Mucor or Candida sp is commonly seen in immunocompromised persons like HIV patients, alcoholics or elderly persons with poor oral hygiene or may be in patients with seizure disorders{3}.Presentation is usually with cough fever malaise.Endemic fungi like Histoplasma or blastomyces and coccidomyces may be causative agents of pulmonary cavities in immunocompetent hosts{4-5} There could be mixed causative factors in immunocompromised patients{6-7} Here we report an interesting case of multiple pulmonary cavities that posed a diagnostic challenge due to its clinical presentation and final treatment outcome.