A 66 year old African American male presents with pain in his back and chest. The pain gets worse with movement and does not occur at night except when he changes position in bed. The patient also said that he used to be 6 feet, but now he's only 5'10". He also complains of weakness, tiredness, and some weight loss. You are unsure what is going on so you order some basic lab tests, including a peripheral blood smear (shown above). The abnormality is indicated by the arrow. Luckily, you remember seeing this in your hematology block.
Challenge: What's the clinical diagnosis?
1. What's the finding on the peripheral blood smear called?
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