Some of you have suggested requesting flow chrome try on the sample.  The results of this are;

cd19+

cd5+

FMC7 weak

cd23+

cd79b neg

cd38 neg

sIg weak

what is your differential?

The patient is a 52 year old gentleman.  His FBC is

Hb 84 g/l

plt 177 x10*9/l

wbc 22.3 x 10*9/L

lymphs 12.4 x10*9/L

what would be your management plan?