A 63 year old male was admitted to the hospital complaining…

A 63 year old male was admitted to the hospital complaining of flu-like symptoms which has persisted for several weeks. The CBC showed the following results: WBC = 77,000/ul RBC = 4.59 mill/ul PLT = 163,000/ul MCV = 84 fl MCH = 19% PMNS = 71% Lymphs = 3% Monos = 5% Prolymphs = 2% Eosinophils Plt Est. = Adequate/Slight Dec  Polychromasia, Many Smudge Cells These findings are most consistent with which condition?

A 29 year old patient is seen by a ER physician complaining…

A 29 year old patient is seen by a ER physician complaining of vague flu like symptoms for 2 weeks in duration. The patient has a fever of 100.9 degrees F. The CBC results are as follows: WBC = 56,000/ul RBC = 2,800,000/ul Hemoglobin – 10.1g/dl HCT = 31.1% MCV = 83 fl Platelet = 63,000/ul 85% Blasts, The NSE is negative. Which of the following is most likely responsible for these results?