“…Another B cell neoplasm, Pre‐B cell acute lymphoblastic leukemia (pre B‐ALL), is also a topic of great interest to the readership of this journal. In this issue, we are presented a case report by Shahal‐Zimra et al describing an adult case of pre B‐ALL with unusual blast characteristic of high side light scatter and high expression of CD45. This case is notable in the context of more commonly reported immunophenotypes for pre B‐ALL .…”