47 Years, Male.
HB: 6.5
MCV: 120 fl
WBC: 29,000/cmm
Bilirubin: total: 6.5 mg/dl, No history of alcohol.
Blood film: Macrosytosis, Neutrophilia. Normal platelets. Hypersegmented polys (Image: DSCN5936, others are from bone marrow.)
Bone Marrow: Myeloid Hyperplasia with normal maturation. Erythroid series: Is there some megaloblastic change? Megakaryocytes appear increased.
How would you interpret this ?