Besides the MCV, nothing seems out of order really.
CD57 is a bit low, i've also seen low CD57 in people without lyme so it's not a good marker.
I would not rely on the elispot for a lyme diagnosis, it gives too many false positives and imo can't be trusted.
I was diagnosed with lyme disease partly because of this elispot test. Years of antibiotics, IV and oral did nothing, turns out i probably never had lyme disease. What i'm left with is a messed up microbiome, damage from oxidative stress, more allergies and food intollerances, skin problems and ofcourse a much lighter wallet.