Large size cell, with eccentric oval and not concave nucleus, no nucleolus, intermediate/mildly condensed chromatin, basophilic cytoplasm covered with large eosinophilic granules.
Hypereosinophilia
Primitive hypereosinophilic syndrome (HES): increased number with atypia: hypogranulation, fine granules often associated with recurrent molecular abnormality, the most common is FIP1L1-PDGFRa. Other reactive hypereosinophilia:allergic, parasitic infection
Hypereosinophilia associated with hematological malignancies: T-cell lymphoma, Hodgkin disease, chronic myeloid leukemia.