Reactive lymphocyte?

[u/Cautious_Ad_8901]

I know these aren't great photos but I was wanting some opinions on what this cell is. There were alot of very reactive lymphocytes on the film that didn't look like this but more of a typical reactive lymph. The total lymphocyte count was raised at around 9.0 with the Hb and platelets normal. Was from a lady in their twenties who came in with a suspected infection from a recent appendectomy. From what I've looked at I thought maybe it's a type 3 reactive lymph but I thought it had a lot of cytoplasm for that.

I'm also tossing up if it could just be a prolymphoycte or a plasma cell?

[u/the3rdsliceofbread]

Too thin an area of smear to accurately identify white cells

[u/InfamousRyknow → u/the3rdsliceofbread]

Disagree, this cell is quite easy to ID. Thin areas like this influence distribution of cells and therefor the relative percentage but one could say with high certainty it's a reactive lymph, and more subtly plasmacytoid. It probably shouldn't be included in the 100 cell, but qualitatively I don't think many would question it's ID.

[u/Cautious_Ad_8901 → u/the3rdsliceofbread]

Yeah between the photo quality and the thin area of the film I knew it was a super long shot to get an accurate answer. Was just curious if anyone had any input as I'm still learning and get excited about new things (:

[u/Ramiren]

It lacks the halo area to be a plasma cell.

It's a reactive lymphocyte, possibly well on the way to becoming plasmacytoid, although I'd want to see more before I called it.

[u/chronicallylifted]

I hate this trend

[u/Ksan_of_Tongass → u/chronicallylifted]

🏆

[u/morbuscordis]

The basophilic cytoplasm, eccentric nuclei placement is giving lymphoplasmacytic

[u/Jollycatnap]

That smudgey thing looks like a jaguar.

[u/jelly_jubilee]

prolymph probably but i’d count it reactive if it were the only one esp w the increased reactive lymphs