History A 23-year-old male over the past week noted increasing fatigue, sore throat, earaches, headaches, and episodic fever and chills. Unable to run 25 miles per week as he is a sportsperson. Physical Exam Erythematous throat and tonsils. Swollen cervical lymph nodes.
CBC (with microscopic differential) RBC 5.25 x 1012/L HGB 15.4 g/dL HCT 46.1 % MCV 87.9 fL MCH 29.3 pg MCHC 33.4 g/dL RDW 12.2 WBC 12.9 x 109/L N 24 % L (shown) 73 M 0 E 3 B 0 PLT 333 x 109/L What morphologic alterations are seen in this blood smear field? What is the most likely diagnosis? *This case is by Docplexus Editorial Team for educative purpose only.