Interpret
Reading File
analyse_media
Here is a full interpretation of this CBC report for Master Pranav Pandey, 12-year-old male, collected on 27 June 2026.
Complete Blood Count - Interpretation
Patient Details
- Age/Sex: 12 years, Male
- Sample: Whole Blood-EDTA
- Lab: Tata 1mg, Lucknow
Parameter-by-Parameter Analysis
| Parameter | Result | Reference | Status | Notes |
|---|---|---|---|---|
| Hemoglobin | 14.6 g/dL | 11.5-15.5 | ✅ Normal | Good for age |
| RBC | 5.28 x10⁶/µL | 4.0-5.2 | ⚠️ Mildly High | Slightly above upper limit |
| HCT | 42.2% | 35-45 | ✅ Normal | |
| MCV | 79.9 fL | 77-95 | ✅ Normal | Low-normal; mild microcytic trend |
| MCH | 27.6 pg | 25-33 | ✅ Normal | |
| MCHC | 34.5 g/dL | 31-37 | ✅ Normal | |
| RDW-CV | 14.5% | 11.5-14 | 🔴 High | Elevated - see below |
| Total WBC | 6.29 x10³/µL | 4.7-12.2 | ✅ Normal | |
| Neutrophils | 53.8% | 37-70 | ✅ Normal | |
| Lymphocytes | 30.9% | 22-55 | ✅ Normal | |
| Monocytes | 12.8% | 2-10 | 🔴 High | Monocytosis |
| Eosinophils | 2% | 1-8 | ✅ Normal | |
| Basophils | 0.5% | 0-1 | ✅ Normal | |
| Abs. Neutrophil | 3.38 | 1.8-7.6 | ✅ Normal | |
| Abs. Lymphocyte | 1.94 | 1.7-4.5 | ✅ Normal | Low-normal |
| Abs. Monocyte | 0.81 | 0.2-0.9 | ✅ Normal (abs) | Percentage high, absolute borderline normal |
| Abs. Eosinophil | 0.13 | 0.1-0.6 | ✅ Normal | |
| Platelet Count | 185 | 170-450 | ✅ Normal | |
| MPV | 11 fL | 6.5-12 | ✅ Normal | |
| PDW | 21.3 fL | 9-17 | 🔴 High | Elevated platelet distribution width |
Key Abnormalities & Their Significance
1. Elevated RDW-CV (14.5%) 🔴
RDW (Red Cell Distribution Width) measures the variation in red blood cell size (anisocytosis).
- A high RDW means the red cells are unequal in size - some are larger, some smaller than normal.
- Most common cause in children: early or mixed iron deficiency anaemia, even when haemoglobin is still normal.
- Can also be seen in: B12/folate deficiency, recovering anaemia, or mixed nutritional deficiency.
- The MCV here is 79.9 fL (low-normal), which together with elevated RDW points toward possible early iron deficiency - the body is starting to produce small, unequal cells but Hb is maintained so far.
2. Monocytosis - Monocytes 12.8% 🔴
- Percentage monocytes are above the 2-10% reference range.
- However, the absolute monocyte count (0.81 x10³/µL) is within normal range (0.2-0.9), which means this is a relative monocytosis - likely due to a slight shift in the differential rather than a true excess of monocytes.
- Relative monocytosis can be seen in: recent viral infections, recovery phase of infections, TB (chronic), inflammatory conditions, or simply a normal variation.
- In an otherwise healthy child with no major clinical concern, this alone is not alarming.
3. Elevated PDW - Platelet Distribution Width (21.3 fL) 🔴
- PDW measures variation in platelet size.
- Elevated PDW indicates platelet anisocytosis (platelets of unequal sizes), often seen alongside conditions of platelet stress.
- Can be seen in: iron deficiency, inflammatory conditions, reactive thrombocytosis, early platelet destruction, or sometimes as a laboratory finding without clinical significance.
- The platelet count itself (185) is normal, so this is likely a functional finding rather than a disorder.
Overall Summary
| System | Assessment |
|---|---|
| Red cells | Mildly elevated RBC with low-normal MCV and high RDW - suggests possible early iron deficiency or mixed nutritional anaemia |
| White cells | Normal counts and differential; relative monocytosis - likely post-infectious or inflammatory |
| Platelets | Normal count; high PDW may accompany iron deficiency or minor platelet turnover change |
Recommendations
- Serum iron studies - Serum ferritin, serum iron, TIBC to confirm or rule out iron deficiency.
- Peripheral blood smear - To look for microcytes, hypochromic cells, or other red cell morphology changes.
- Dietary history - Assess iron and B12/folate intake (especially in a vegetarian or picky-eating child).
- Clinical correlation - If the child has had a recent fever or infection, the monocytosis may resolve on its own. Repeat CBC in 4-6 weeks if symptoms persist.
- No immediate alarming finding - Haemoglobin is normal (14.6 g/dL), WBC is normal, and platelets are adequate. This is not an emergency report.
Disclaimer: This interpretation is for informational purposes only. Please consult your paediatrician with the full clinical picture before making any treatment decisions.
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