Interpret above report
Reading File
Here is a detailed interpretation of Mr. Avanish's CBC report (35Y/Male, collected 13-May-2026):
Complete Blood Count — Interpretation
🔴 Abnormal Findings (Flagged)
| Parameter | Result | Reference Range | Flag | Significance |
|---|---|---|---|---|
| Neutrophil % | 76% | 40–70% | HIGH | Neutrophilia |
| Lymphocyte % | 18% | 20–45% | LOW | Relative lymphopenia |
| Absolute Neutrophils | 7372/cumm | 2000–7000 | HIGH | Absolute neutrophilia |
| Absolute Monocytes | 97/cumm | 200–1000 | LOW | Mild monocytopenia |
| Absolute Basophils | 0/cumm | 20–100 | LOW | Minor, usually not clinically significant |
| MCHC | 31.84% | 32–36% | LOW | Mild hypochromia |
✅ Normal / Near-Normal Findings
| Parameter | Result | Reference Range | Status |
|---|---|---|---|
| Haemoglobin | 12.1 g/dL | 12–17 g/dL | Low-normal (borderline) |
| TLC | 9700/cumm | 4000–11000 | Normal |
| Eosinophil | 5% | 1–6% | Normal |
| Monocyte % | 1% | 1–5% | Normal |
| RBC Count | 4.54 | 3.5–6.0 | Normal |
| PCV | 38.0% | 34–38% | Normal (upper limit) |
| MCV | 83.7 fl | 80–110 fl | Normal |
| MCH | 26.65 pg | 22–33 pg | Normal |
| RDW-CV | 12.3% | 10–28% | Normal |
| Platelet Count | 1.63 Lac/cumm | 1.5–4.5 Lac/cumm | Normal |
| MPV | 11.8 fl | 6.5–12 fl | Normal |
| PCT | 0.192% | 0.108–0.282% | Normal |
Clinical Interpretation
1. Neutrophilia with Relative Lymphopenia — most important finding
- Neutrophil %: 76% and Absolute Neutrophil Count: 7372/cumm (above normal)
- Lymphocyte %: 18% (below normal)
- This pattern — high neutrophils + low lymphocytes — is classically seen in:
- Bacterial infection (most common cause)
- Acute physiological stress (surgery, trauma, intense physical activity)
- Corticosteroid use (steroids raise neutrophils and suppress lymphocytes)
- Early viral infections can also transiently cause this
2. Borderline Low Haemoglobin (12.1 g/dL)
- Just within the lower limit of normal for a male (12–17 g/dL), but the low MCHC (31.84%) suggests mild hypochromic anemia — red cells are paler than normal, indicating possible iron deficiency at an early stage.
- PCV is 38% (normal) and MCV is normal — this is a very early/subtle picture. Serum ferritin and iron studies would help confirm.
3. Absolute Monocytes — Low (97/cumm)
- Mildly below range (200–1000), but isolated low monocytes have limited clinical significance in most contexts. Can be seen with steroid use or viral infections.
Summary
This CBC is consistent with an active bacterial infection or acute stress response in a 35-year-old male. The neutrophilia with relative lymphopenia is the key finding. The borderline haemoglobin and mildly low MCHC may indicate early iron deficiency worth investigating further.
Recommended next steps (clinician to decide):
- Clinical history: fever, cough, pain, recent illness?
- Consider CRP / ESR to assess inflammation
- Serum ferritin, serum iron, TIBC to evaluate iron stores
- If on steroids or recent physical stress — recheck CBC after resolution
This interpretation is for informational purposes. Please correlate with clinical findings and consult a qualified physician for diagnosis and management.
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