The image features a graphic design with a white background. On the left side of the image, there is a text that reads "I AM 78 +" in a bold, black font. On the right side, there is an illustration of a hand with a middle finger extended, which is a universal gesture for anger or disapproval. The hand is stylized with a simple, cartoon-like design and is colored in white. The overall style of the image is minimalistic and appears to be a play on the phrase "I am 78 years old," with the number 78 being replaced by the hand gesture.