I have a follow up appointment on the 29 th . I’m 35 years old approx 5 ft5 , 170 lbs , no current medication. I’ve had 3 natural childbirths , smoker (6/8 cigs a day ) . I’ve had painful and tender breasts for about 2 months and had a lymph node biopsy , 2 mammograms and a breast biopsy. I am otherwise healthy and have had no serious medical issues.

Value RIght Axillary Lymph Node LYMPH NODE RIGHT ARMPIT SHOWING COMPLETE OBLITERATISATION OF HILUM. Lymphoma protocol. Indication selected Your Value Other (specify in comments) Final Interpretation Your Value Right axillary lymph node core needle biopsy, flow cytometry: -Abnormal "double-positive" (CD4/CD8) T-cell population comprising about 7% of overall cellularity with strong expression of CD279 (PD1), raising the possibility of nodular lymphocyte

Your Value Viability: 86.5%; specimen is adequate Percentage of total events falling within lymphocyte gate: 95% CD4/CID8 ratio: 2.2 Percentages of lymphoid subsets (approximate): - CD19-positive B cells: 58% - CD3-positive T cells: 40% - NK cells: 1% The B cells are polytypic and phenotypically unremarkable. Among the T cells, a subset of double positive T cells (with expression of CD4 and CD8) is noted, accounting for about 8% of all lymphoid cells. Most of that subset shows a strong expression of CD279 (PD1). This finding is remarkable and, although associated with follicular hyperplasia, may also strongly suggest the possibility of nodular lymphocyte predominant Hodgkin lymphoma (nodular lymphocyte predominant B-cell lymphoma). Morphologic review of cytospin reveals a population of large mononuclear cells with irregular multilobated pleomorphic nuclei with occasional horseshoe shapes. Tia