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Help with smudge cells?? Anyone????

Are there any other reasons for these findings in blood work, other than leukemia? Are these results prone to lab mistakes? My son had some bloodwork done, and in the comment section it states he has 20% smudge cells present. I googled it, and didn't like what I found. I can't find any information on other causes but leukemia, and lymphoproliferative disorders. Any help would be GREATLY appreciated!!!!!!!!!
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