Which of the following test results is most consistent with a diagnosis of CIMF?

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Dacryocytes (teardrop cells) in the peripheral blood are a classic finding in chronic idiopathic myelofibrosis (CIMF), a bone marrow disorder characterized by fibrous tissue replacing normal bone marrow. Other findings in CIMF may include anemia, splenomegaly, leukocytosis, and thrombocytosis, but these are not specific to CIMF and can be seen in many other conditions. The presence of >30% blasts in the peripheral blood would suggest acute leukemia, while a high WBC count and high PLT count can be seen in many different conditions, including reactive states.

Which of the Following Test Results Is Most Consistent with a Diagnosis