A 55 year old male was presented with the symptoms of severe headache and generalized pruritis. His physical examination revealed: Spleen palpable 10 cm below left costal margin. Liver palpable 3 cm. below right costal margin.

The rest of the exam was within normal limits. Laboratory findings RBC 7.70 x 1012/L,   HGB 17.3 g/dL HCT 54.3 %,  MCV 97.1 fL MCH 32.2 pg,   MCHC 33.2 g/dL RDW 16.4,  WBC 18.3 x 109/L N seg 79%,  N myelocyte 5 % L 9,  M4 E 0,  B 3 PLT 484 x 109/L What can be the most probable findings for this patient? *This case is by Docplexus Editorial team for educative purpose only