Type of Preparation: SurePath/ LBP Magnification: High Clinical History: Routine Pap test, 45 year old with an IUD in place Interpretation: Atypical endocervical cells Cytomorphologic Criteria: Cells demonstrate nuclear enlargement, nucleoli and cytoplasmic vacuolization. Explanatory Notes: IUD-related changes may mimic some cytologic features seen in glandular neoplasia. Follow-up: IUD-related changes