Case 126 – Update 2!

Thank you for everyone’s thoughts on the blood film. Think we’re all in agreement that blood film shows small to medium sized lymphocytes with high nuclear/cytoplasmic ratio and folded nucleoli. There are also occasional forms with nucleolus and cytoplasmic protrusions.

The flow plots are now available. Can you help interpret to ascertain the immunophenotype and ??diagnosis.

TPLL Flow1

TPLL Flow2TPLL Flow3

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