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Do you mean MCV (mean cell volume or mean corpuscular volume)?
It seems that you have a slightly high MCV and slightly low RBC. This could mean that you have macrocytic anemia. Possible causes include B12 deficiency, folate deficiency, and alcoholism. If you want to be thorough, consider having your liver and thyroid function tested to rule out those problems.
If any of your other blood counts are abnormal, your doctor will interpret your MCV and RBC in light of the other counts. It's the combination that tells the story.
Are you having symptoms of anemia (fatigue, shortness of breath, rapid pulse, dizziness, etc.)? If so, it needs to be further investigated, and a consultation with a hematologist might be wise. But if your only evidence of a problem is a lab report with slightly high MCV and slightly low RBC, I wouldn't panic.
MDS may be suspected when one or more blood counts are low enough to cause symptoms, which I'm guessing you don't have, but it can only be confirmed (or ruled out) with a bone marrow biopsy. Is there something else that makes you think you might have MDS?
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