1. Presented by Molly McGowan, M.D. and reviewed by Lorraine Blagg, MA, MLS(ASCP)^CMSBB, AHI(AMT)

An elderly patient new to the area presents to a new oncologist to establish care; the physician sends a specimen to the blood bank for a type and screen to have on file. The blood bank receives the requisition below and the ensuing blood bank results are below.

Test Name: Type and Screen
Diagnosis: Multiple Myeloma
Order Comments: Oncology patient, CAR-T recipient

Type:

Phase	Patient RBCs +				Patient Plasma +
	Anti-A	Anti-B	Anti-D	Monoclonal Control	A1 cells	B cells
Immediate Spin (IS)	4+	0	4+	0	0	2+

Antibody Screen:

	Gel column method
	Anti-IgG
I	2+
II	1+

(click images to enlarge) 

Question: What additional testing might be helpful?