Question: I already asked one doctor his opinion, so this is a second opinion and a few more questions. He was really great, so this is no reflection on him. (If this is you again Dr. Sundriyal I hope you don't mind if I get a second read on my situation)

I had low wbc on 2 consecutive tests. Both had very low absolute neutrophil count. Additional testing has showed 4% myelocytes and 1% metamyelocytes as well as 3% atypical lymph, slight poikilocytosis and +1 polychromasia. Lymphocytes 65%. LDH 283. Sedrate 38, CRP 2.3

I had a bone marrow biopsy and have uploaded the file with the results. My most recent CBC (same day as bone marrow) showed a WBC at 5.1,

They have already ruled out B-12, Folic acid deficiencies, HIV, Lupus, Rh, hepatitis.

1) Why does the marrow report say abnormal? Is it basically fine?
2) I don't understand how I was not sick (no sore throat, stomach issues, etc) and had such abnormal blood results. I have many serious illnesses and viruses including emergency mastoiditis, Epstein Barr, CMV and never had any abnormal bloodwork except high WBC with infection. Is a recovered WBC and this bone marrow report basically saying I'm fine?

3) Is the M:E ratio normal?

4) Is the cellularity normal?

5) Is it no big deal that there are rare dysplastic megakaryocytes?

Thank you!!