Review Question - QID 211107

A 7-month old boy, born to immigrant parents from Greece, presents to the hospital with pallor and abdominal distention. His parents note that they recently moved into an old apartment building and have been concerned about their son's exposure to chipped paint from the walls. His temperature is 98.7°F (37°C), blood pressure is 98/61 mmHg, pulse is 111/min, respirations are 28/min, and oxygen saturation is 98% on room air. On physical exam, the patient is found to have hepatosplenomegaly and frontal skull bossing. Hemoglobin electrophoresis reveals markedly increased HbF and HbA2 levels. What would be the most likely findings on a peripheral blood smear?