MICROSCOPIC DESCRIPTION:
| WBC | 15.2 10x9/L |
| RBC | 4.45 10x12/L |
| Hgb | 12.5 g/dL |
| Hct | 36.6 % |
| MCV | 82.3 fL |
| MCH | 28.1 fL |
| MCHC | 34.1 g/dL |
| RDW | 11.9 % |
| PLT | 254 10x9/L |
| Retic | |
| Retic |
| Cell Type | Percentage | Abs. No. |
|---|---|---|
| Polys | 11 % | 1.67 |
| Bands | ||
| Lymphs | 38 % | 5.78 |
| Atyp. Lymphs | 45 % | 6.84 |
| Monos | 5 % | 0.76 |
| Eos | 1 % | 0.15 |
| Baso | ||
| Blasts | ||
| Promyelos | ||
| Myelos | ||
| Metamyelos | ||
| NRBC/100 WBC |
The peripheral blood smear was reviewed.
RED BLOOD CELL MORPHOLOGY:
Slight anisocytosis, slight poikilocytosis, polychromasia.
WHITE BLOOD CELL MORPHOLOGY:
Abundant atypical lymphocytes , some of which contain granules.
PLATELETS are adequate with occasional large forms seen.
BONE MARROW:
The marrow aspirate smear is adequate for interpretation with cellular spicules seen. Four aspirate smears and zero touch imprints reviewed.
| Blasts | 2.3 % | |
| Promyelos | 1.5 % | |
| Myelos | 10.2 % | |
| Metamyelos | 6.4 % | |
| Bands | 9 % | |
| PMN | 10.2 % | |
| Eos Myelo/Metas | 0.8 % | |
| Eos Bands | ||
| Eos Segs | 1.5 % | |
| Basos | 0.4 % | |
| Monos | 5.3 % | |
| Pronormos | 3.8 % | |
| Normos | 24.4 % | |
| Lymphos | 24.1 % | |
| Plasma Cells | 0.4 % | |
| Others | ||
| Myeloid:Erythroid Ratio 1.7 | ||
| Total # of cells counted: 300 | ||
The MYELOID/ERYTHROID RATIO is unremarkable.
ERYTHROID MATURATION is complete and slightly megaloblastoid.
MYELOID MATURATION is complete and slightly megaloblastoid with asychrony of maturation and retention of primary granules.
MEGAKARYOCYTES are present. Megakaryocytes include occasional hypersegmented forms.
Flow Cytometry