A ten-year-old male neutered West Highland white terrier is presented with a recent history of polyuria/polydipsia, lethargy, and weight loss.
Physical exam reveals a grade 2/6 systolic heart murmur and mild muscle wasting along the lumbar spine.
Significant lab abnormalities include pancytopenia, hyperglobulinemia, hypercalcemia, and isosthenuria.
Bone marrow cytology is shown below.
What is the diagnosis?
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