Season 8 Case 18

Hx: Pain

Season 8 Case 18

History: <withheld>  remote prior lumbar surgery


Answer: Zuckerguss or “Sugar coating" 

Diffuse leptomeningeal enhancement classically due to drop mets or carcinomatosis. 

Lumbar surgery was remote and it turned out this pt had known melanoma

reference: https://radiopaedia.org/articles/sugar-coating?lang=us