The image is a hand-drawn portrait of a smiling skull with a large nose and a wavy pattern of lines on its face. The skull has a round head with jagged teeth and a small mouth. The eyes are large and expressive, with whites and blacks. The nose is small and curved, with a wavy line running down the middle. The skin is gray and has a subtle texture. The background is white with a hint of yellow. The overall style is simple and cartoonish, with a touch of realism.