Abstract: Pulmonary infection with Sporothrix schenkii is uncommon. Fewer than 100 cases of primary pulmonary sporotrichosis have been reported in the English-language literature. Pulmonary infection most likely occurs by inhalation or aspiration of conidia in susceptible individuals. Pulmonary sporotrichosis usually occurs in males 30 to 60 years of age who are immunosuppressed and/or have underlying lung diseases. S schenckii is neither highly invasive nor highly virulent and hence tends to produce insidious and chronic infections in humans. The outcome of pulmonary sporotrichosis is often poor because of delay in diagnosis and severe underlying pulmonary disease. We report a case of chronic cavitary sporotrichosis in an immunocompetent female whose diagnosis was delayed, requiring evaluation over the course of almost 1 year. She is successfully undergoing treatment with itraconazole.