What is the most likely diagnosis

Reference no: EM133700820

A middle-aged female patient visits her doctor complaining of fatigue and fullness in her left abdomen. Physical examination reveals an enlarged spleen. Her blood tests show elevated counts of all blood cells, especially platelets and white blood cells. A bone marrow biopsy indicates hypercellularity. Based on the clinical presentation and bone marrow findings, what is the most likely diagnosis?

Reference no: EM133700820

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