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Reading File
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Here is a complete explanation of Mr. Champalal Purohit's CBC report from Apollo Diagnostics (27 July 2026).
Patient Details
- Name: Mr. Champalal Purohit | Age/Gender: 51 years, Male
- Referred by: Self | Test: Complete Blood Count (CBC), Whole Blood EDTA
- Reported by: Dr. Suma D.P., M.B.B.S., M.D., Pathologist
CBC Results - Full Breakdown
🔴 RED BLOOD CELL (RBC) Parameters
| Test | Result | Reference Range | Status | What it means |
|---|---|---|---|---|
| Haemoglobin (Hb) | 11.0 g/dL | 13-17 | ⚠️ LOW | Oxygen-carrying protein in RBCs is below normal |
| PCV (Packed Cell Volume / Haematocrit) | 32.10% | 40-50 | ⚠️ LOW | The percentage of blood volume occupied by RBCs is reduced |
| RBC Count | 4.17 Million/cu.mm | 4.5-5.5 | ⚠️ LOW | Fewer red blood cells than normal |
| MCV (Mean Corpuscular Volume) | 77 fL | 83-101 | ⚠️ LOW | RBCs are smaller than normal (microcytic) |
| MCH (Mean Corpuscular Haemoglobin) | 26.4 pg | 27-32 | ⚠️ LOW | Each RBC carries less haemoglobin than normal (hypochromic) |
| MCHC | 34.3 g/dL | 31.5-34.5 | ✅ Normal | Haemoglobin concentration within RBC is adequate |
| RDW (Red Cell Distribution Width) | 12.7% | 11.6-14 | ✅ Normal | RBC size variation is within normal range |
Key interpretation: Low Hb + Low PCV + Low RBC + Low MCV + Low MCH = Microcytic Hypochromic Anaemia. The most common cause in a 51-year-old male is iron deficiency anaemia (chronic blood loss, dietary deficiency). Thalassaemia trait is another possibility.
- The normal MCHC and normal RDW (not very high) suggest this could be early/mild iron deficiency or thalassaemia trait.
- Hb of 11.0 g/dL is classified as mild to moderate anaemia (WHO defines anaemia in males as Hb < 13 g/dL).
⚪ WHITE BLOOD CELL (WBC / Leucocyte) Parameters
Total Leucocyte Count (TLC): 8,080 cells/cu.mm - ✅ Normal (reference: 4000-10,000)
Differential Leucocytic Count (DLC) - % of each cell type:
| Cell Type | Result | Reference Range | Status |
|---|---|---|---|
| Neutrophils | 66.5% | 40-80% | ✅ Normal |
| Lymphocytes | 26.3% | 20-40% | ✅ Normal |
| Eosinophils | 3.2% | 1-6% | ✅ Normal |
| Monocytes | 3.8% | 2-10% | ✅ Normal |
| Basophils | 0.2% | 0-2% | ✅ Normal |
Absolute Leucocyte Count (actual cell numbers):
| Cell Type | Result | Reference Range | Status |
|---|---|---|---|
| Absolute Neutrophils | 5373.2 cells/cu.mm | 2000-7000 | ✅ Normal |
| Absolute Lymphocytes | 2125.04 cells/cu.mm | 1000-3000 | ✅ Normal |
| Absolute Eosinophils | 258.56 cells/cu.mm | 20-500 | ✅ Normal |
| Absolute Monocytes | 307.04 cells/cu.mm | 200-1000 | ✅ Normal |
| Absolute Basophils | 16.16 cells/cu.mm | 0-100 | ✅ Normal |
All white cell counts are completely normal. No evidence of infection, inflammation, allergy, or blood cell malignancy based on this panel.
NLR (Neutrophil-Lymphocyte Ratio): 2.53 - ✅ Normal (reference 0.78-3.53). NLR is a marker of systemic inflammation; a normal NLR suggests no significant inflammatory/stress response.
🟡 PLATELET Parameters
| Test | Result | Reference Range | Status |
|---|---|---|---|
| Platelet Count | 355,000 cells/cu.mm | 150,000-410,000 | ✅ Normal |
| MPV (Mean Platelet Volume) | 9 fL | 8.1-13.9 | ✅ Normal |
Platelets are normal - no bleeding risk or clotting issues suggested.
Summary of Findings
| Category | Status | Key Abnormalities |
|---|---|---|
| Red Blood Cells | ⚠️ Abnormal | Anaemia - microcytic, hypochromic |
| White Blood Cells | ✅ Normal | No infection or immune problem |
| Platelets | ✅ Normal | No bleeding/clotting concern |
What This Likely Means Clinically
This CBC pattern - microcytic hypochromic anaemia with normal WBC and platelets - strongly points to:
-
Iron Deficiency Anaemia (most likely) - caused by poor iron intake, chronic gastrointestinal blood loss (e.g., peptic ulcer, piles), or malabsorption. At 51 years in a male, hidden GI blood loss should be ruled out.
-
Thalassaemia Trait - a mild inherited condition causing small, pale RBCs. RDW is often normal in thalassaemia trait (as it is here), which actually supports this possibility alongside iron deficiency.
Recommended Next Steps
A doctor would typically advise:
- Serum Iron, TIBC (Total Iron Binding Capacity), Ferritin - to confirm iron deficiency
- Peripheral Blood Smear - to look at actual RBC shape
- HbA2 / HPLC - to rule out thalassaemia trait
- Stool occult blood test / endoscopy - if iron deficiency is confirmed, to find the source of blood loss
- Dietary assessment - iron-rich foods (green leafy vegetables, meat, legumes)
Note: This explanation is for informational purposes. Please consult the referring doctor or a physician to interpret these results in the context of the patient's symptoms, physical examination, and full medical history. Do not start or change any treatment without medical advice.
is it concerning
Short answer: Mildly concerning - not an emergency, but needs investigation.
Here's a honest breakdown:
What's NOT Concerning ✅
- White blood cells are completely normal - no sign of infection, immune disorder, or blood cancer
- Platelets are normal - no bleeding or clotting risk
- Haemoglobin is 11.0 - low, but not dangerously low (critical levels are usually below 7-8 g/dL)
- No alarming combinations - the pattern is a common, treatable one
What IS Concerning ⚠️
The anaemia itself is not the main worry - what matters more is WHY it's there.
In a 51-year-old man, microcytic hypochromic anaemia should not be dismissed because:
| Concern | Why it matters |
|---|---|
| Hidden GI bleeding | Men don't lose blood monthly like women do - so if iron is low in a middle-aged/older male, a source of blood loss must be found. Could be peptic ulcer, polyp, or colon cancer |
| Colon cancer | One of the most common cancers in men over 50. Slow, hidden bleeding from the gut is often the first sign - shows up exactly like this CBC |
| Symptoms | If he has fatigue, breathlessness, dizziness, pale skin, or dark/bloody stools - that adds urgency |
Bottom Line
The anaemia at this level won't cause a crisis today - but the underlying cause could be serious if left uninvestigated.
The priority action is:
- See a doctor soon (within the next 1-2 weeks, not years)
- Get serum ferritin + iron studies done
- If iron deficiency is confirmed - stool occult blood test and possibly a colonoscopy given his age (51M)
This is not something to panic about, but it is not something to ignore either.
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