Hello & thank you for submitting the question. Hypochromic red blood cells means that the red cells don t demonstrate their normal degree of red color, and usually correlates with a low hemoglobin level. Anisopoikilocytosis, which means variation in red cell size and shape, can be seen in many conditions. The particular changes noted on your smear are nonspecific and may indicate a variety of things such as Iron deficiency anemia, high levels of urea containing protein in the blood, or other abnormalities of proteins or metabolites. The results of this smear should be interpreted in the context of your clinical symptoms.