We’re back with another Morphology Monday case! This week’s case comes from a 69 year old male presenting with a increasing fatigue and back back over the past several months. He has also experiences recurrent infections recently.

A full blood count was requested and the results were:

• WBC: 4.2 ×10⁹/L
• RBC: 2.85 ×10¹²/L
• Hb: 92 g/L
• HCT: 0.27
• MCV: 94 fL
• MCHC: 341 g/L
• Platelets: 118 ×10⁹/L

A blood film was made for review. Here are some of the images:

The biochemistry results showed:

• Creatinine: 152 µmol/L
• Corrected Calcium: 2.78 mmol/L
• Total Protein: 96 g/L
• Albumin: 28 g/L

What do you think is wrong with the patient?