25th July 2024

You are reviewing a 53-year-old man in the haematology clinic who initially presented with significant fatigue

You are reviewing a 53-year-old man in the haematology clinic who initially presented with significant fatigue, easy bruising and abdominal fullness. Examination reveals conjunctival pallor and splenomegaly. The blood film is seen below and you had a dry tap when you tried to acquire a bone marrow sample.

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.