Thanks for all of the responses to our blood film. We agree with the comments via #teamhaem

• Toxic granulation and vacuolation
• Crenated red cells
• Possible alcohol
• Thrombocytopenia

The blood count was Hb 108g/L, MCV 98fL, WCC 18×10*9/L with  neuts 16.2×10*9/L, PLT 80×10*9/L. The patient had pneumonia and CRP 208mg/L. On looking around the film there was left shift, toxic granulation and vacuolation of neutrophils in keeping with sepsis/inflammation. Moderate thrombocytopenia with no platelet clumping or red cell fragmentation.

Further pictures later on!