Q. A 50-year-old woman with a known history of rheumatoid arthritis presents at your primary care clinic for a routine follow-up appointment. She reports persistent fatigue despite adhering to her treatment plan. She does not complain of gastrointestinal bleeding or nutritional deficiencies. Her vital signs include a temperature of 99.1°F (37.3°C), a pulse rate of 78 beats per minute, blood pressure measuring 120/80 mmHg, and a respiratory rate of 16 breaths per minute. Physical examination reveals swelling and mild tenderness in multiple joints. Her recent laboratory tests indicate a hemoglobin level of 8.9 g/dL. Which of the following best describes the likely findings on the peripheral blood smear in this case?