This design features a black and white illustration of a hand with a middle finger gesture. The hand is adorned with a red nail polish on the index finger. Above the hand, there is a text that reads "I AM 78 +". The text is in a casual, handwritten font, and the overall style of the image is simple and cartoonish. The background is plain white, which contrasts with the black and white illustration, making the elements stand out. The image appears to be a playful or humorous representation of a person's age or status.