The image shows an elderly woman sitting at a table with a young girl in a wheelchair. The woman is wearing a floral dress and is holding a piece of paper in her hand. The young girl is sitting next to her and is looking at the woman with a smile on her face. There are balloons and streamers in the background, suggesting that the scene is taking place at a birthday party. The table is covered with a white tablecloth and there is a teddy bear on the table. The overall mood of the image is happy and celebratory.