The image is a close-up of a piece of lined paper with the text "18 October 2020 U.S. Covid Cases" written in black ink. The text is written in a cursive font and is centered on the page. Below the text, there is a list of cases of COVID-19, including 8,127,522 cases, and 219,534 cases. The list is written on a white background with a black tassel hanging from the top right corner.