My father's SPEP was found to have M-spike of 3.9 g/L on routine exam. Did BM Biopsy and blood tests, BM-bx shows 7% plasma, beta microglobulin is 3404 ng/ml, K/L FLC ratio 1.36, IgG 1760, IgA and IgM normal. IFE shows monoclonal gammopathy in IgG and Lambda region,
Albumin 4.39, Reticulocyte count 1.66%, LDH 141. Hb 12.2, Pt 151000, WBC 10300.
His hemat is out of town, Bx report came today, what could be the potential diagnosis?