Chronic lymphocytic leukemia with erythroid hyperplasia

Bone marrow aspirate from a patient with chronic lymphocytic leukemia and autoimmune hemolytic anemia with bone marrow erythroid hyperplasia. The small lymphocytes (black arrows) have a dense nucleus with a thin rim of blue cytoplasm. The nucleated red cells have an irregularly clumped nucleus with a greater amount of cytoplasm, which can range from basophilic to polychromatophilic, to eosinophilic (red arrows). (Wright- Giemsa).