The peripheral blood showed moderate normocytic anemia and a marked leukopenia with neutropenia.  Circulating blasts are present.  Also,  the  peripheral blood showed moderate normocytic anemia and a marked leukopenia with neutropenia.  

There is background erythroid dysplasia including multinucleation. 

Megakaryocytes include frequent forms with separated nuclear lobes.  Both findings confirm the myelodysplastic changes.  

Megakaryocytes include frequent forms with separated nuclear lobes are also seen on the biopsy.

Flow cytometric immunophenotyping demonstrates increased blasts positive for CD13, CD33(dim), CD34, CD45(dim), CD117, HLA-DR, and myeloperoxidase (MPO

CYTOGENETICS with monosomy 7.