<prompt> Peripheral Smear showing the arrows is diagnostic ofHemolytic anaemiaMacrothrombocytopenia with large plateletsMegaloblastic anemiaPernicious anemia  <response>: C Megaloblastic anemia HEMATOLOGICAL FINDINGS OF MEGALOBLASTIC ANEMIA: The blood film can point towards vitamin deficiency: Decreased Red Blood Cell RBC count and hemoglobin levels. Increased mean corpuscular volume MCV, 95 fl and Mean Corpuscular Hemoglobin MCH. Normal mean corpuscular hemoglobin concentration MCHC, 32-36 gdL The reticulocyte count is decreased due to destruction of fragile and abnormal megaloblastic erythroid precursor. The platelet count may be reduced. Neutrophil granulocytes may show multisegmented nuclei senile neutrophil. This is thought to be due to decreased production and a compensatory prolonged lifespan for circulating neutrophils, which increase numbers of nuclear segments with age. Anisocytosis increased variation in RBC size and poikilocytosis abnormally shaped RBCs. Macrocytes larger than normal RBCs are present. Ovalocytes oval-shaped RBCs are present; Howell-Jolly bodies chromosomal remnant also present. 