M/40yrs, clinically severe anemia, no other clinical details available.
Lab investigations: Hb-4mb/dl, MCV-106 femtoliters, Nucleated RBCs:35 nRBCs/100 WBCs, Platelets: Normal( at lower limit), total WBCs count: with in normal limits. Serum LDH-3804 U/L.
Blood Film: macro-ovalocytosis, polychromatic RBCs, HJ bodies, ?cabot rings, many normoblasts, occasional megaloblast, hypersegmented WBCs , giant WBCs, many myelocytes, promyelocytes.
Hypochromic Macrocytic picture, suggestive of megaloblastic anemia. No evidnce/not suggestive of leukemia.
Please give your opinion.