ALB and Increased total leukocyte count: Laboratory tests were significant for a leukocytosis of 95 200/μL with 84% lymphocytes, smudge cells on peripheral smear, hemoglobin 13.2 g/dL, platelet count 177 000/μL, creatinine 1.2 mg/dL, serum albumin 2.1 g/dL, and hemoglobin A1c of 5.7% (Table 3).