The image is a black and white photograph of a close-up of a person's hand holding a book. The hand is positioned in a way that the fingers are slightly curled around the book, with the thumb and index finger resting on the cover. The book appears to be a hardcover with a spine and the letters "E" embossed on it. The person is wearing a white coat with a high collar and buttons down the front. The background is blurred, so the focus is on the hand and the book.