The image features a graphic design with a playful and colorful theme. At the top, there is a green and yellow sign that reads "BIRTHDAY" in large, bold letters. Below this sign, there is a blue "B" and a red "Y," which together form the word "BOY." To the right of the "B" and "Y," there is a cartoon character of Elmo from Sesame Street, a red, furry character with a yellow nose and a wide, happy smile. The Elmo character is positioned in front of the "B" and "Y," creating a playful visual effect. The overall style of the image is cheerful and child-friendly, likely intended for a birthday celebration.