22 results
Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
Examples of varying granular ... and granular/waxy ... casts: A: coarse granular ... /muddy brown granular ... #Granular #MuddyBrown
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Finely granular ... slightly coarser granular ... muddy brown (mb) granular ... #Granular #MuddyBrown
Plasmacytomas and Plasma-Cell Leukemia - Physical examination revealed multiple exophytic subcutaneous lesions involving the arms and
peripheral-blood smear ... PlasmaCell #Leukemia #Smear ... #NEJM
Neoplastic plasma cells with nucleoli (left image) and intranuclear Dutcher body (right image).

Dutcher bodies are round,
bodies are round, agranular ... appear somewhat granular ... Pathology #Clinical #Smear
Borrelia recurrentis Infection - Spirochetes were visible (arrows), a finding that suggested louseborne relapsing fever #Clinical
#Recurrentis #Smear ... #Microscopy #NEJM
Acute promyelocytic leukemia (blood). Typical morphologic features are bilobed ("butterfly") nuclei with dispersed chromatin, subtle to
overt cytoplasmic granules ... Hematology #Clinical #Smear
African Trypanosomiasis - The examination was notable for the two erythematous lesions, each measuring 3 to
peripheral-blood smear ... Derm #Pathology #Smear ... TrypanosomaBrucei #NEJM
Here are very large, immature myeloblasts with many nucleoli. A distincitve feature of these blasts is
of crystallized granules ... BloodSmear #Blood #Smear
Auer Rods - Bone marrow aspiration revealed 5% blasts and 65% promyelocytes; many promyelocytes had prominent
AcutePromyelocyticLeukemia #Smear ... #Microscopy #NEJM
A 37-year-old woman initially presented with pancytopenia and found to have leukopenia (2.1 × 103/μL) with
abundant cytoplasmic granules ... peripheral blood smear ... decreased secondary granules ... BloodSmear #Blood #Smear