Please fill in the information for the consultant, thank you!  
 
Patient:male 60 years  
 
Male or Female: male  
 
Age: 60  
 
Clinical information:This is a case I am sharing of 60 yrs old man with history of recurrent hemolytic like attacck with decreased Hb and increased billirobins.  
 
Question:giant cells like multi lobulated megakaryocytes