The image shows a group of six people posing for a photo in front of a table with a birthday cake. The table is covered with a white tablecloth and there are several glasses and plates on it. The cake is pink and white with a large slice taken out of it. There are also several balloons hanging from the ceiling in the background. The group is smiling and looking at the camera. On the right side of the image, there is an elderly woman wearing a red dress and holding a bouquet of pink flowers. Next to her, there are two men and two women, one wearing blue shirts and the other wearing pink shirts. The man on the left is wearing a blue plaid shirt and the woman on the right is wearing an orange shirt. The background appears to be a room with white walls and a wooden door.