The patient is referred to Haematology and a CT scan is requested. This confirms splenomegaly with some enlarged mesenteric lymph nodes also identified.
A bone marrow biopsy is organised for the following day. Unfortunately, this is a dry tap and only a trephine biopsy can be taken.
Do the results of the CT help aid the differential diagnosis?
What causes a dry tap on bone marrow aspirate?
What are you expecting to find on the bone marrow trephine?