The image features a black and white illustration of a hand with a red painted thumb and index finger. The hand is holding a middle finger up, which is a universal gesture for disapproval or contempt. Above the hand, there is text that reads "I AM 51 +" in a casual, handwritten font. The text is in black, which contrasts with the white background of the image. The overall style of the image is simple and cartoonish, with a clear emphasis on the hand gesture and the accompanying text.