The image shows a hand holding a piece of paper with a list of items on it. The list is titled "Puntaje Masculino - 17 Eventos Sumados" which translates to "17 Events Sumados". The list includes items such as "Guayas", "Pichincha", "Cotopaxi", "El Oro", "Tunggurahua", and "Los Rios". The items are arranged in a table format with columns for each item. The paper appears to be slightly crumpled and has some writing on it, but it is not clear what it says. The background is a wooden table.