The image is a photograph of a handwritten note from a child. The note is written in black ink on a beige-colored paper. The child's handwriting is neat and legible, and it appears to be handwritten in a cursive style.

The note reads, "My dear Michael, if I was a man of hearts, I should send by return of a Lip a Breast and a couple of things as it is. I can only write a note of sincere sympathies in a handwriting. Suggesting a child of 11 lacking in thyroid. Would you appreciate it if I described to you in petal the colour pattern and texture of the tablecloth? I hope I shall see you very soon. Do send me a copy of your paper? Let's of love. Lucian."

At the bottom of the note, there is a small illustration of a horse. The horse is drawn in a simple, cartoon-like style, with a long mane and tail. The background is plain white.