This week’s Morphology Monday case is from a 57 year old who presented to the emergency department.

FBC Results:

• WBC: 35.42×10⁹/L
• HB: 80g/L
• PLT: 26×10⁹/L

A blood film was made to review these findings and confirm some of the counts. Images are below:

What do you see and what do you think it could be? What are your next steps?