Male smoker, presenting with haemoptysis and confusion.
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Axial post contrast
The icing sugar (or sugar coated) enhancement pattern within the brain, is typical of leptomeningeal metastases, most commonly observed with lung and breast primaries, aside from those with a CNS primary.
- 2.Collie DA, Brush JP, Lammie GA. Imaging features of leptomeningeal metastases. Clin Radiol. Nov 1999;54(11):765-71.