Case 96 – update 2

An USS abdomen has been performed which confirms mild hepato-splenomegaly. CXR was reported as normal. Faecal elastase, TTG, TFTs, ILGF1 all normal.

You phone the haematology registrar to look at the blood film in view of the abnormal FBC.

Questions:

1. Please comment on the blood film features and what are your differentials?

2. What other blood tests or investigations might be helpful?

3. What is your next step?

Here are the blood films:

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