Cameo Madonna. Solid .925 sterling silver frame. Bas-relief black and white Capodimonte porcelain. Encased in a sterling silver Italian (twirled rope) frame with bale. Made in Italy. Dimensions: 0.9" x 0.7" (22mm x 18mm) Weight of medal: 1.8 Grams. 18" Genuine rhodium plated curb chain. Deluxe velvet gift box.