The cameo depicts a scene with two men and a dog in front of a brick wall, a tree, and a fence. There is also a house and the outline of a shadow of a village in the background. It has a metal frame; I'm not sure what the frame is made of--it may be gold, but is tarnished. The pearls that surround the perimeter are slightly deteriorated with age, and two appear to be missing. It has a double clasp on the back -- my grandmother said she even wore it as a child, and was always losing it, so her parents put a second "safety" clasp on. One clasp is essentially a safety pin attached to a chain, and the other is a pin that stretches across the width with a circular lock on it, similar to modern pins.
