Type of Preparation: Conventional Magnification: High Clinical History: 85 year old postmenopausal woman Interpretation: HSIL Cytomorphologic Criteria: Due to the presence of elongate cells and much nuclear overlapping, the abnormal cells in this specimen may be misinterpreted as glandular in origin. Most nuclei are round to oval and consistent with HSIL. Explanatory Notes: Spindling of squamous cells in conventional preparations is often an artifact of smearing. Follow-up: HSIL