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Finding Sources
Finding Sources
CBC Report Summary - Mr. Pandya Dishantkumar Jigneshkumar (21 yrs, Male)
Lab: Parul Sevashram Hospital, Central Clinical Laboratory | Sample: 20-Aug-2026
Normal Parameters
| Parameter | Result | Reference | Status |
|---|---|---|---|
| Hemoglobin | 14.6 g/dL | 13-17 | Normal |
| RBC Count | 5.26 million/µL | 4.5-5.5 | Normal |
| Hematocrit | 45.0% | 40-54 | Normal |
| MCV, MCH, MCHC, RDW | all within range | - | Normal |
| Total WBC Count | 4660/µL | 4000-10000 | Normal |
| Lymphocytes % | 20.9% | 20-40 | Normal |
| Basophils | 0.3% | 0-2 | Normal |
| Absolute Neutrophil Count | 3355/µL | 2000-7000 | Normal |
| Platelet Count | 225,000/µL | 150000-450000 | Normal |
| MPV, PCT | within range | - | Normal |
Abnormal / Flagged Values
| Parameter | Result | Reference | Flag |
|---|---|---|---|
| Neutrophils % | 72.0% | 50-62 | High |
| Absolute Lymphocyte Count | 974/µL | 1000-3000 | Low (mildly) |
| Absolute Eosinophil Count | 28/µL | 40-440 | Low |
| PDW (Platelet Distribution Width) | 15.9% | 9.6-15.2 | High (mildly) |
Interpretation
The overall count is unremarkable - hemoglobin, RBC indices, total WBC, and platelet count are all normal, so there is no anemia, leukopenia/leukocytosis, or thrombocytopenia.
The pattern seen here - relative neutrophilia with mild lymphopenia and low eosinophil count (eosinopenia) - is a classic non-specific "stress leukogram." According to Harrison's Principles of Internal Medicine and Goldman-Cecil Medicine, this pattern is commonly driven by elevated endogenous cortisol, catecholamines, or prostaglandins, and is seen with:
- Acute physical or emotional stress
- Acute bacterial infection (eosinopenia of acute infection is well described and occurs even without a rise in cortisol)
- Corticosteroid use
- Recent exercise, surgery, or trauma
The eosinopenia in particular is a recognized early marker of acute infection/inflammation - Harrison's notes "the mechanism of eosinopenia of acute bacterial infection is unknown but is independent of endogenous glucocorticoids."
The mildly elevated PDW indicates slightly increased variability in platelet size, which is a nonspecific finding often seen alongside any active inflammatory or reactive process and is not concerning in isolation, especially with a normal platelet count and PCT.
Bottom Line
This is essentially a normal CBC with a mild reactive/stress pattern (relative neutrophilia, mild lymphopenia, low eosinophils). It is not diagnostic of any specific disease on its own. If the patient has current symptoms (fever, infection, recent illness, medication use like steroids, or recent stress/exertion), that context would explain this pattern. No anemia, no significant leukocytosis, and platelets are adequate. I'd recommend correlating this with the patient's clinical symptoms and, if there's any lingering concern, a repeat CBC in 1-2 weeks once any acute issue resolves - but this report by itself is not alarming.
Note: I am not able to diagnose from a lab report alone - this should be reviewed by the treating physician (Dr. Komal Rana) in the context of the patient's symptoms and history.
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