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The page below is a sample from the LabCE course Body Fluid Differential Tutorial. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Ependymal Clumps

The image on the right is a higher power field view of an ependymal clump. Notice how the nuclei are all nearly identical in size and have strikingly similar staining characteristics.
Despite the fact that this is actually a clump of cells, there is little, if any, indication of individual cells. This multinucleated giant cell appearance is characteristic of ependymal clumps.