Type of Preparation: Conventional Magnification: High Clinical History: Routine pap smear Interpretation: NILM: Keratotic cellular changes: parakeratosis Cytomorphologic Criteria: Squamous pearl comprised of miniature squamous cells with small pyknotic nuclei and orangeophilic cytoplasm. Explanatory Notes: This is an example of "typical parakeratosis" is a non-neoplastic cellular change as opposed to single or cell clusters that demonstrate pleomorphism of cell size or shape and increased nuclear size and chromasia ("atypical parakeratosis" or "dyskeratosis".