PMC3919480_01
(a) and (b) Chest skiagram and CT scan of the patient, revealing left pleural effusion.
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figure1
Cytospin-processed smear of pleural fluid revealing uniformly dispersed haematolymphoid blasts intermixed with mesothelial cells (H&E x400).
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figure2
The cytospin-processed smears revealed numerous uniformly dispersed and singly scattered haematolymphoid blasts against haemorrhagic background (Figure 2).
(a) Peripheral smear showing myeloblasts (Leishman x400) and (b) FNAC of axillary lymph node revealing infiltration by myeloid blasts (Leishman x200).
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figure3
A complete haemogram followed revealing haemoglobin:8.5 g/dl, total leucocyte count of 72,000/cumm with 82% blasts and decreased platelet count (Figure 3a). During the course, she developed axillary lymphadenopathy, aspiration of which revealed infiltration by myeloid blasts (Figure 3b).