A patient has a WBC count of 63,000 with a prominent left sh…

A patient has a WBC count of 63,000 with a prominent left shift present.  An LAP score is performed from a fingerstick and the results are shown below.  What is the most likely condition? (Reference Range = 20-100)  Grading Number  0 88 1+  10 2+  2 3+  0 4+  0