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Both cases (A and B) show a significant granulocytosis (neutrophilia). For Case A, the neutrophil cluster retains a relatively normal shape but its position is slightly higher on the SIZE axis compared to normal. The sample also shows monocytosis, moderate normocytic anaemia and a high normal platelet count. The BAND flag suggests the possibility of a left shift.


For comparison, Case B (51 year old male following nephrectomy for renal cell carcinoma) shows a less marked neutrophilia, with relatively normal RBC and platelet results. With regards to the graphical displays, the neutrophil population cluster (upper left plot) is also relatively normal but the extended location of the cluster along the LOBULARITY axis in the other WBC plot (upper right) indicates that the neutrophils are hypersegmented.

Numerical Results


WBC  36.5 10e3/μL  16.3 10e3/μL
NEU 34.6 94.9 %  BAND 13.4 82.0 %
MONe 1.39 3.82 % .835 5.12 %
EOS .011 .030 % .025 .151 %
BASO .047 .130 % .057 .351 %
LYMe .409 1.12 % 2.02 12.4 %

RBC  2.70 10e6/μL  4.22 10e6/μL
HGB 7.79 g/dL  13.1 g/dL
HCT  23.9 % 39.6 %
MCV 88.5 fL 93.8 fL
MCH 28.8 pg 31.1 pg
MCHC 32.6 g/dL 33.1 g/dL
RDW 13.4 % 11.0 %

PLT 461. 10e3/μL 229. 10e3/μL
MPV 6.44 fL  9.78 fL

CELL-DYN Ruby Casebook. Granulocytosis. 2018. ADD-00005070. p.35
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