Tuesday, May 30, 2017

A queer blood picture

CML or CMML?

47 year old man with weakness and splenomegaly for last 7 months. Hb 9.1, WBC 1.2 L, Plt 4.7 lakhs.

Monocytes? Neutrophil precursors


Fragmented nuclei



Ring neutrophils

Florettes


Pseudo Pelger Huet cells

A similar one





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