This is the blood film marked for the attention of the haematologist.  It has the clinical details “LUQ pain”.  Automated count shows: Hb 120g/L, WCC 16.3×10*9/L, lymphs 8.9×10*9/L, neuts 3.9×10*9/L, monos 2.2×10*9/L, PLT 160×10*9/L

Questions

• What do you see?
• What other tests could be abnormal?
• Would you advise any further investigations?

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