The image features a black and white illustration of a fist, which appears to be in a boxing stance, with the words "Pitter Patter" written above it. The text is in a casual, handwritten font, and the overall design is simple and clear. The image could be associated with a theme of boxing or physical strength, as suggested by the boxing stance of the fist. The phrase "Pitter Patter" is a colloquial way to describe a soft or gentle sound, which might be a playful or humorous addition to the image.