<prompt> Neoplastic cells with multilobulated nuclei clover leaf or flower cells are seen in which of the following?Diffuse large B cell lymphoma DLBCLAdult T-cell leukemia ATLLAnaplastic large cell lymphoma ALCLMycosis fungoides  <response>: Adult T-Cell LeukemiaLymphomaATLL: This neoplasm of CD4 T cells is only observed in adults infected by human T-cell leukemia Virus type 1 HTLV-1. Common findings include skin lesions, generalized lymphadenopathy, hepatosplenomegaly, peripheral blood lymphocytosis, and hypercalcemia. Tumor cells with multilobated nuclei cloverleaf or flower cells are seen. 