Brief Answer: Disease present Detailed Answer: Dear patient, Thanks for the query. Indeed, by the description and abnormal cells, it appears that indeed you have a pathologic condition, a disease of the blood and/or bone marrow; the tear drop cells are non-specific, can be seen in some myelodysplastic syndromes such as myelofibrosis, liver disease, and some forms of leukemias. A specific diagnosis will need an updated peripheral smear and a bone marrow biopsy with special stains. Your hematologist will orchestrate that. Hope that helps, wish you the best, Dr Brenes-Salazar MD Mayo Clinic MN

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