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http://en.wikipedia.org/wiki/Exotic_R4
Related exotic structures
Casson handles are homeomorphic to D2×R2 by Freedman's theorem (where D2 is the closed unit disc) but it follows from Donaldson's theorem that they are not all diffeomorphic to D2×R2. In other words, some Casson handles are exotic D2×R2s.
It is not known (as of 2009) whether or not there are any exotic 4-spheres; such an exotic 4-sphere would be a counterexample to the smooth generalized Poincare conjecture in dimension 4. Some plausible candidates are given by Gluck twists.

http://en.wikipedia.org/wiki/Gluck_twist#4-dimensional_exotic_spheres_and_Gluck_twists
In differential topology, a mathematical discipline, an exotic sphere is a differentiable manifold M that is homeomorphic but not diffeomorphic to the standard Euclidean n-sphere.
That is, M is a sphere from the point of view of all its topological properties, but carrying a smooth structure that is not the familiar one (hence the name "exotic").

The first exotic spheres were constructed by John Milnor (1956) in dimension n = 7 as S3-bundles over S4. He showed that there are at least 7 differentiable structures on the 7-sphere.
In any dimension Milnor (1959) showed that the diffeomorphism classes of oriented exotic spheres form the non-trivial elements of an abelian monoid under connected sum, which is a finite abelian group if the dimension is not 4.
The classification of exotic spheres by Michel Kervaire and John Milnor (1963) showed that the oriented exotic 7-spheres are the non-trivial elements of a cyclic group of order 28 under the operation of connected sum.