The bone marrow aspirate shows numerous abnormal promyelocytes with prominent cytoplasmic granules, characteristic of hypergranular acute promyelocytic leukemia. Some of these cells exhibit reniform or bilobed nuclei, and several cells contain multiple Auer rods. The blood smear from this patient showed a pancytopenia with rare abnormal promyelocytes. Wright-Giemsa stain. Slides were viewed with an Olympus BX51 microscope using a 100×/1.4 oil-objective lens. Images were acquired with Olympus DP70 and 71 cameras and Olympus DP70 and 71 software. Images were not manipulated.