Type of Preparation: Conventional Magnification: High Clinical History: 49 year old woman, Pap smear following treatment of SIL Interpretation: NILM: Keratotic cellular changes?"typical parakeratosis" Cytomorphologic Criteria: Note plaque of parakeratotic cells with persistence of nuclei. The nuclei lack any evidence of increased staining and size, and have a normal outline. Explanatory Notes: Might be an image to address the issue of parakeratosis versus ASCUS, parakeratotic type. Follow-up: Patient continues to be followed without evidence of SIL