I downloaded and installed 2.18.0.03 today on my laptop. I started VS1012 and I don't see the NCrunch menu item.
I uninstalled NCrunch using Programs and Features, exited VS, reinstalled NCrunch 2.18.0.3, and then restarted VS 2012. However, I still don't see NCrunch in the menu.
I do see NCrunch listed in Tools\Extensions and Features.
I restarted my laptop at some point in the above process. But that didn't help.
I just noticed I'm at VS 2012 Update 4 and Update 5 is available. I'm installing Update 5 now.
Thanks, Ed