A pulmonary mycetoma is a round to oval-shaped mass of fungi situated within a cavity in the lung. Most mycetomas are caused by Aspergillus species. Other fungi have occasionally been reported to cause clinically and roentgenographically similar lesions. We report a case of pulmonary mycetoma caused by Candida albicans. Review of the literature suggests that pulmonary mycetoma due to this species is uncommon, and when it has been suspected, specific documentation has been lacking.