Figure A shows peripheral Blood morphology from a pluripathological male aged 79 who was admitted in our emergency department due to worsening of the overall condition and appearance of a painful hematoma in his left hemithorax. Urgent blood tests showed an increased leukocyte count (32,9 x 109/L) with marked lymphocytosis (21,1 x 109/L). Morphological analysis showed atypical cells, bigger than normal lymphocytes, and a highly basophilic cytoplasm. In view of the results, a hematological malignancy was suspected. Thus, a bone marrow analysis with flow cytometry and cytogenetics analysis was requested. Biochemical test were also ordered.