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Myelodysplastic syndrome with abnormal megakaryocytic maturation

Myelodysplastic syndrome with abnormal megakaryocytic maturation
Bone marrow aspirate from a patient with myelodysplastic syndrome. The megakaryocytes are abnormal, with multiple small lobes seemingly disconnected from each other ("pawn ball" changes, arrows). (Wright-Giemsa).
Courtesy of David S Rosenthal, MD.
Graphic 59897 Version 2.0