DEPARTMENT OF LABORATORY SCIENCES

Patient Name Mrs. SHASHI Lab No 141256

Age/Gender 67 Yrs/Female Sample Date 28/03/2024 4:07PM
OPD / IPD Medicine Ward - 5F - 6th E / Receiving Date 28/03/2024 4:23PM
UHID MW-U5-F-26
113163 Report Date 30/03/2024 3:53PM
Referred By Dr. Nidhi Uniyal
Report Status Final
HEMATOLOGY
Test Name Result Unit Bio.Ref. Range Method

BONE MARROW ASPIRATION

Bone Marrow Report

Remark

Number: BM–09/24

Clinical Diagnosis: Tenderness in right iliac fossa, low grade fever and loose stools
CBC -Hb-12.2 g/dl, TLC -91000/ul, Platelet count -3.03 lakh/ ul

Peripheral Blood Smear :

RBCs - Mild anisopoikilocytosis with admixture of normocytic normochromic cells, microcytic hypochromic cells with few polychromatophilic
RBCs.

WBCs - Hyperleukocytosis with shift to left upto blast.( 5%)

Platelets - Adequate on smear.

No hemoparasite seen. R/C - 0.3%

Impression - S/O Chronic myeloproliferative disorder.

Bone marrow (M/E)

Blasts05 Promyelocyte05 Myelocyte20 Metamyelocyte12 Bandcells13 Neutrophil27 Lymphocyte03 Monocyte01 Eosinophil and its
precursors07 Basophil03 Nucleated RBCs04 Plasma cells00

Cellularity –Markedly Hypercellular (~ 95%) M:E ratio –20 :1

Erythropoiesis - Marked decrease in erythropoeisis with with few early normoblasts seen.
Myelopoiesis – Markedly increased in granulocytes and their precursors and maturation upto neutrophils is seen. Blasts are approximately 5%

Megakaryopoiesis -There are presence of few micromegakaryocytes with dysplastic forms exhibiting hypolobated nuclei.

There is no granuloma/ parasites seen.

Perls stain +1

Impression: Hypercellular marrow with marked myeloid hyperplasia and dysplastic micromegakarocytes favoring Myelodysplastic/
myeloproliferative neoplasm.
Advise : 1.Cytogenetics for further typing.
2. Kindly corelate with biopsy report.

Lab Technician
Dr. YOGITA MUNJAL
Prepared By Dr. YOGITA MUNJAL Assistant Professor
Printed on 05/04/2024 16:20
Test reports are subjects to technical limitations and should clinically co-related. Laboratory may be contacted whenever required. Page: 1 Of 4
 DEPARTMENT OF LABORATORY SCIENCES
Patient Name Mrs. SHASHI Lab No 141256
Age/Gender 67 Yrs/Female Sample Date 28/03/2024 4:07PM
OPD / IPD Medicine Ward - 5F - 6th E / Receiving Date
UHID MW-U5-F-26
113163 Report Date
Referred By Dr. Nidhi Uniyal
Report Status Final
--End Of Report--

Lab Technician

Prepared By Dr. YOGITA MUNJAL Printed on 05/04/2024 16:20

Test reports are subjects to technical limitations and should clinically co-related. Laboratory may be contacted whenever required. Page: 2 Of 4
 DEPARTMENT OF LABORATORY SCIENCES
Patient Name Mrs. SHASHI Lab No 141256
Age/Gender 67 Yrs/Female Sample Date 28/03/2024 4:07PM
OPD / IPD Medicine Ward - 5F - 6th E / Receiving Date 28/03/2024 4:23PM
UHID MW-U5-F-26
113163 Report Date 05/04/2024 4:13PM
Referred By Dr. Nidhi Uniyal
Report Status Final
HISTOPATHOLOGY
BONE MARROW BIOPSY

Remark

Bone marrow biopsy (M/E)

Histopath no. H- 851/24
Site - Right posterior iliac crest, core biopsy, Adequate to evaluate.

Gross - Received a linear bony bit m/s 2.4 x 0.2 x 0.2 cm. All processed

Cellularity - Hypercellular with bone marrow spaces exhibiting approximately 95-98% cellularity.

Erythropoiesis - There is relatively erythroid hypoplasia with presence of few late erythroblasts. No ring sideroblasts are
present. No dysplasia is seen.

.Myelopoiesis - There is absolute myeloid hyperplasia with predominance of myelocytes,metamyelocytes and stab cells with <
5% blasts. There is 4-5 layers of paratrabecular myeloid cells.

No dysplasia is seen.

Megakaryopoiesis - Megakaryocytes are markedly increased with most of the megakaryocytes being dwarf and
hyposegmented.

There is no increase in plasma cells/ histiocytes. No granuloma/ parasite is identified. Paratrabecular bone is predominantly
unremarkable.

Perls stain 0-1 +

Impression : S/O Chronic myeloproliferative neoplasm

Advise : Kindly corelate with Flow cytometry analysis, Cytogenetics and IHC stains.

Lab Technician
Dr. YOGITA MUNJAL
Prepared By Dr. YOGITA MUNJAL Assistant Professor
Printed on 05/04/2024 16:20
Test reports are subjects to technical limitations and should clinically co-related. Laboratory may be contacted whenever required. Page: 3 Of 4
 DEPARTMENT OF LABORATORY SCIENCES
Patient Name Mrs. SHASHI Lab No 141256
Age/Gender 67 Yrs/Female Sample Date 28/03/2024 4:07PM
OPD / IPD Medicine Ward - 5F - 6th E / Receiving Date
UHID MW-U5-F-26
113163 Report Date
Referred By Dr. Nidhi Uniyal
Report Status Final

--End Of Report--

Lab Technician

Prepared By Dr. YOGITA MUNJAL Printed on 05/04/2024 16:20

Test reports are subjects to technical limitations and should clinically co-related. Laboratory may be contacted whenever required. Page: 4 Of 4