Figure 1. Peripheral smear from a child with hemoglobin of 7.5 g/dl, RBC of 5.9 x 106/ul and an MCV of 47 fL consistent with a diagnosis of thalassemia. The marked RBC microcytosis and hypochromia are evident. The child had received an RBC transfusion prior to smear being performed accounting for the dual population of RBCs. A spherocyte (arrow) is present on the smear and is of donor origin.