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White Blood Cell Count (Manual Differential) from Bronchial Lavage Fluid

Published: August 9, 2026Updated: August 16, 2026

This test measures the types and proportions of white blood cells found in fluid collected from your airways, which can help identify infections, inflammation, or other lung conditions.

Quick summary

["Understanding your airway white blood cell profile may assist doctors in diagnosing or managing lung health issues."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
14810-6
Short code
WBC # Bronch Manual
Synonyms
WBC # Bronch Manual
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
4.5
Ref high
11
Critical range
2 N/A – 30 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
manual-count
CPT
85004
SNOMED
900000000000003002
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if you have symptoms like persistent cough, shortness of breath, or unexplained lung concerns. It helps assess whether infections (like pneumonia), allergies, or other conditions are affecting your airways.

What to Expect Before the Test

No special preparation is needed. You may receive a bronchoalveolar lavage procedure under sedation or local anesthesia, where fluid is gently washed into your airways to collect cells for analysis.

What the Results Mean

Results show the percentage of different white blood cell types (e.g., neutrophils, lymphocytes, eosinophils). Elevated neutrophils often suggest bacterial infections, while eosinophils may indicate allergies or asthma. Your doctor will interpret these findings in the context of your symptoms and overall health.

Common Conditions This Test Helps Diagnose

This test can help diagnose conditions like pneumonia, cystic fibrosis, lung cancer, or inflammatory lung diseases (e.g., sarcoidosis). It may also guide treatment decisions for chronic respiratory conditions.

Reference range

Adult: 4.5-11.0 x 10^9/LN/A

Specimen: serum

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

White blood cells in bronchial lavage fluid reflect local immune responses in your lungs. Elevated or specific cell types can indicate infections, immune disorders, or structural lung diseases. This test provides critical insights for targeted medical management and monitoring.

Short name

WBC Differential from Bronchial Lavage

Frequently asked questions

What does a high or low count of certain white blood cells mean?
A high neutrophil count often points to bacterial infections, while elevated eosinophils may suggest allergies, asthma, or parasitic infections. Your doctor will review these results alongside your medical history and symptoms to determine the next steps.
How long will I need to wait for my results?
Results are typically available within 1–3 business days, depending on lab processing times. Your doctor will discuss them with you during your follow-up visit.
Is this test painful?
The procedure involves inserting a small tube into your airways under sedation or local anesthesia, so you may feel discomfort but won’t experience significant pain. Recovery is usually quick, with minimal side effects.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy