The image is a graphic with a stylized design. It features the letters "M" and "N" prominently displayed in the upper left corner. Below these letters, there is a rose with a stem and leaves, and a text that reads "She was a real nurse of this nurse." The text is arranged in a way that the words "She was a real nurse" are above the word "of," which is below the rose. In the center of the image, there is a large heart with a stethoscope inside it. The heart is outlined with a starburst pattern, and there are additional stars around it. Below the heart, the text reads "20 years ago." The overall style of the image suggests a commemorative or celebratory theme, possibly related to a nursing profession or a personal milestone. The use of a rose and a stethoscope within the heart symbolizes love and care, which are often associated with nursing. The text "20 years ago" implies that the image is acknowledging an event or achievement that occurred 20 years ago.