@rimmy2 The next thing to do is get a peripheral blood smear, that will look at the cells, then possibly a flow cytometry, after that I got a CT scan then a PET CT (which they could have done first but that's the sequence. I was gonna be a bit freaked out because I'm "coffin claustrophobic" but on both the CT (5 min) and PET (30 min) your head is pretty much out of the donut and a worst take a valium or 2 before - i listened to my music on my phone. Havent done an MRI which not sure about that - being in a tube might not work for me unless they knock me out (??). but the PET shows alot. AL of 5.7 is still low, hell mine was a 9 then 12 now waiting for today's test. WBC was 10-13 to 18, so going in the wrong direction. Plus they smears will tell if you have muted or unmuted (mine, unfortunately) cells, which if you have the muted its not as bad, so to speak. I've only been diagnosed 3 months so it's all new to me....