The image shows a man and an elderly woman cutting a birthday cake. The cake is on a table covered with a white tablecloth and is decorated with pink and gold frosting. The man is wearing a green polo shirt and is holding the cake with both hands, while the woman is standing next to him with her hands on the cake. In the background, there are gold and silver balloons with the number 90 on them. There are also several empty glasses on the table. The room appears to be decorated for a 90th birthday celebration.