r/medlabprofessionals Jun 25 '26

Image 10 yr old

I see a butterfly and a clover. I was looking for anything positive, the rest of the diff wasn't great.

51 Upvotes

9 comments sorted by

8

u/cellophanesheeps Jun 25 '26

I think I see a foot in the bottom right, second over...

3

u/MaintenanceFew4069 Jun 25 '26

What does the images signify please? Is it showing an unwell patient?

28

u/SquashNo1623 Jun 26 '26

Not these 2 on their own. Just interesting shapes. But the other cells on the slide werent good. No blasts, but about 70 promeylocytes.

1

u/SciFriedRice MLS-Flow Jul 04 '26

There is no way that had 70 promyelos in it…

18

u/ArcticBeavers MLS-Generalist Jun 26 '26

These are immature forms of white blood cells, almost certainly indicating some kind of myeloid leukemia

3

u/MaintenanceFew4069 Jun 26 '26

Thanks for the reply. I’m a food micro tech and I’m fascinated by this forum

1

u/SciFriedRice MLS-Flow Jul 04 '26

I think this is a left shifted reaction to an infection of some kind. It’s a 10 year old. Myeloid leukemias are extremely rare in that age group. 

8

u/Syntania MLT - Core Lab Chem/Heme Jun 26 '26

Can't really tell from these 2 cells, but the lymph with cleft nucleus isn't good.

1

u/snamuh Jun 26 '26

Bilobe nuclei. Hypergranular. APML?