The image features a graphic design with a white background. At the top, there is a text that reads "Nurse because My Letter Never Came." Below this, there is a stylized depiction of a nurse's hat, a syringe, and a stethoscope. The nurse's hat is black with a white border, and the syringe and stethoscope are also black, with the syringe having a needle and the stethoscope having a chest piece. The text and the medical equipment are arranged in a way that suggests a connection between the nurse's profession and the idea of a delayed or unfulfilled letter. The overall style of the image is reminiscent of a tattoo design, with bold, black lines and a clear, straightforward message.