What does the blood test mean when it says cytoplasmic vacuolation, toxic granulation, micro 2+? The segs are46 lymph37 mono10 abs mono1.1 child is 2

Lab tests. These results can occur when the white blood cells are eating foreign material, which they are meant to do. Unfortunately these have little if any significance divorced from the clinical issues which prompted their being ordered. This should be discussed with the doctor. Good luck.