14 months old boy with hepatosplenomegally presented with anemia
CBC.
WBC 7.4
HB 8.4
MCV 78
LYMPH 47%
GRA 43%
Mic. Bone marrow is normocellular to age focally showing histiocytic aggregate. All three cells lineage with increased immature myeloids.
Question. RULE OUT MYELOBLASTIC LEUKEMIA