Hypocellularity of 10-20% and moderate fibrosis in 25 year old?

Hi all, I recently had a bone marrow biopsy performed with the following results. The pathologist stated that I had a hypocellularity of 10-20% with MF 1-2/3, and signs of “evolving bone marrow failure.” There were no signs of overt cancer, blasts 1-2%. Neo comprehensive Myeloid Panel was negative, but that did not include FISH tests. I’ve done a lot of research because my follow up is not for a couple of weeks, but based on what I’ve done it might be between hypocellular MDS or aplastic anemia.

WBC - 3.35 RBC - 4.39 HGB - 13.4 HCT - 40.0 MCV - 91.1 RDW - 12.3 Plt - 229
Differential: immature grans 0.3%, neu 48.3%, lymphs 41.8%, monos 8.7%, eos 0.3%, basos 0.6%.

Peripheral blood:
Erythrocytes: Normocytic, normochromic RBCs without anemia, no polychromasia or nucleated RBCs present
Anisocytosis and poikilocytosis: Not prominent, mild rouleaux formation.
Leukocytes: Leukopenia with borderline absolute neutropenia. No atypical lymphocytes or circulating blasts
identified.
Platelets: Adequate
Bone marrow aspirate / Touch preparations:
Aspiration Site: Not specified
Particles: Adequate
Differential (200 cell count):
Not performed

Myeloid (Granulocytic):Erythroid Ratio [Range 2-4:1] see immunostains

Erythroid precursors: Orderly maturation
Granulocytic precursors: Orderly maturation; no significant blast population
Megakaryocytes: Adequate
Lymphocytes: Not increased
Plasma cells: Not increased
Stainable iron: Adequate stainable iron present, no ring sideroblasts identified
Clot sections:
Particles: Multiple particles with trilineage maturation
Bone marrow trephine biopsy:
Biopsy Site: Not specified
Adequacy:
Adequate, 1.8 cm

Cellularity: 10-20%
Megakaryocytes: Adequate in number with normal distribution
Erythrocytopoiesis: Adequate
Granulocytopoiesis: Relatively decreased
Plasma cells: Not increased
Infiltrates: None
Trabecular bone: Unremarkable

SPECIAL STAINS
Reticulin stain: Focally moderate fibrosis (mf 1-2/3).

IMMUNOHISTOCHEMISTRY
STAIN RESULT:
CD34: Highlights scattered blasts, 1-2%.
CD117: Positive in the blasts and a few scattered mast cells.
CD31: Positive in scattered megakaryocytes
E cadherin: Positive erythroid precursors small islands
MPO: Positive in slightly decreased myeloid precursors with ME ratio about 1-2: 1.
CD3/CD20: Positive in mildly increased T/B lymphocytes.
CD138: Positive in scattered plasma cells, less than 5%.
CD79 a/Pax 5:Positive in B lineage cells with slightly increased hematogones.
.
Final Diagnosis
PERIPHERAL BLOOD:
- LEUKOPENIA WITH BORDERLINE ABSOLUTE NEUTROPENIA AND LYMPHOCYTOPENIA, NO
ATYPICAL LYMPHOCYTES OR CIRCULATING BLASTS IDENTIFIED.
- NORMOCYTIC NORMOCHROMIC RBCS WITH MILD ROULEAUX FORMATION, NO POLYCHROMASIA
OR NUCLEATED RBCS PRESENT.
- ADEQUATE PLATELETS.
BONE MARROW, ASPIRATE, CLOT AND CORE BIOPSY:
- HYPOCELLULAR BONE MARROW (10-20% CELLULARITY) FOR AGE WITH RELATIVELY
DECREASED MYELOID PRECURSORS, ERYTHROPOIESIS AND MEGAKARYOCYTES.
- NO INCREASE IN BLAST POPULATION.
- FOCALLY MODERATE MYELOFIBROSIS (MF 1-2/3).
- ADEQUATE STAINABLE STORAGE IRON PRESENT, NO RING SIDEROBLASTS IDENTIFIED.