The image features a text-based message that reads "I SPRAINED MY LIVER." The text is written in a casual, handwritten font, with the words "I SPRAINED" in a larger size than the rest of the text. The phrase is a humorous take on the common expression "I sprained my ankle," which is used to describe a minor injury. The humor comes from the exaggeration of the injury to the liver, an organ that is not typically associated with sprains. The text is centered in the image, and the background is plain white, which puts the focus entirely on the message.