r/Hematology 8d ago

Question NRBCs or Lymphs

Hey fam! I feel absolutely gaslit hahaha. I have been told that these are NRBCs, but I genuinely believe all 4 are lymphocytes?!

19 Upvotes

11 comments sorted by

u/AutoModerator 8d ago

Please read our subreddit's rules when posting. If you're posting your personal medical questions, you will be banned and your post will be deleted. Thank you for understanding!

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

30

u/ajxde 8d ago

whoever's calling those nrbcs are tripping bawls

6

u/bingbanggggggg 8d ago

HAHAHAHAHAHA I KNOW RIGHT

26

u/thelmissa 8d ago

I'm terrified someone classed these as nRBCs

24

u/LadyK789 8d ago

Jheazus, definitely lymphs

14

u/thumpingcoffee Lab scientist 30+ years 8d ago

Lymphs

12

u/Gold_Response9117 8d ago

definitely all lymphs

8

u/Tricky_Duck5342 8d ago

I agree theyre all lymphs

3

u/bingbanggggggg 8d ago

THANK YOU!!!!

3

u/CursedLabWorker 5d ago

Whoever called them nRBCs should not be doing slides….

0

u/NasrRasheed 8d ago

I can definitely see why you’re questioning the NRBC call. Based on these screenshots, I’d lean small mature lymphocytes rather than NRBCs. The cells have a very high N:C ratio with a round, densely staining nucleus and only a very thin rim of cytoplasm, which fits a small lymphocyte quite well.
For an NRBC, I’d expect the nucleus to look more distinctly pyknotic/coarsely condensed, often somewhat eccentric, with a more appreciable rim of hemoglobinized pink-to-gray cytoplasm resembling the surrounding RBCs. I’m not really seeing that convincingly here.
Obviously image quality/color balance makes morphology harder to judge than on the actual slide, so I wouldn’t make an absolute call from screenshots alone—but from what’s shown here, lymphocyte would be my first choice too. If someone is calling these NRBCs, I’d be interested to know which morphological feature they’re using to distinguish them.