A 61-year-old male underwent an FNA of a 1.5 cm left lung mass. Based on the differential diagnosis of Histoplasmosis, Coccidiodes, Blastomycosis, and Cryptococcus, the diagnosis was determined to be Coccidioides immitis. Coccidioides immitis is a dimorphic fungus commonly found in soils in the southwest United States that can cause the disease Coccidioidomycosis, or Valley Fever, if inhaled. Symptoms of the disease range from asymptomatic infection to flu-like symptoms such as cough and fever.