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Peripheral blood and bone marrow aspirate and biopsy. (a and d) Bone marrow aspirate smears (a, 1987; d, 2015) reveal cytologically dysplastic megakaryocytes. (b) Peripheral blood smear in 2015 demonstrates normal appearing platelets and monocytes ( × 400). (c) Bone marrow core biopsy in 2015 shows cellular bone marrow with increased small megakaryocytes ( × 200).
