The image shows an elderly woman and a young boy posing for a photo in front of a table with a birthday cake. The table is covered with a gold tablecloth and there are two large gold balloons with the number 90 on them. The cake is decorated with pink and white frosting and has the words "Felices 90" written on it. The boy is wearing a white polo shirt and is standing next to the woman. They are both smiling and looking at the camera. The background appears to be a room with white walls and a window.