**Observations**:

1. **Eyes**: The person's eyes are wide open, which usually indicates a state of surprise or shock. The skin below the eyes is tense, which might be due to intense emotional display. The brows are raised and furrowed, typically indicative of distress or confusion.

2. **Mouth**: The lips are slightly parted, with the corners of the mouth turned down in a subtle way. This generally represents sadness or disappointment.

3. **Tears**: There appears to be moisture or tears in the eyes, often seen during moments of intense emotion, like sadness, joy, or pain.

4. **Facial Color**: The person's face looks a bit flushed, which could suggest emotional intensity or a rush of blood due to an emotional reaction.

5. **Neck and Throat**: The skin appears tight and strained. When someone is experiencing intense emotions, muscles around the neck and throat may tense up.

6. **Jaw**: The jaw seems slightly tensed, which is often seen in individuals who are trying to control or hold back their emotions.

7. **Posture**: It's hard to tell from the cropped image, but the person seems to be leaning forward slightly, which can be an indicator of engagement or anticipation.

**Analysis and Conclusions**:

1. **Primary Emotion**: The overall expression seems to predominantly indicate distress or sorrow, compounded by the tears and the downturned mouth.

2. **Intensity**: The wide eyes, flushed face, and tears suggest this is a moment of strong emotional intensity for the person.

3. **Genuineness**: There's a genuine appearance to the emotions displayed. The wide variety of indicators (tears, tensed jaw, furrowed brows) that are hard to fake simultaneously hint at the authenticity of the emotion. However, without context, it's hard to say definitively.

4. **Potential Secondary Emotions or Thoughts**: The raised brows and wide eyes might also indicate surprise or disbelief, suggesting the person might be witnessing or hearing something unexpected.

5. **Potential Masking or Social Emotion**: The tensed jaw and neck could indicate an attempt to restrain or control the emotional display, which suggests that while the person is feeling a strong emotion, they might also be trying to hold back or mask the full intensity of their feelings, perhaps to appear composed or due to social constraints.

In essence, the person in the image appears to be experiencing a moment of deep sorrow or distress, possibly combined with shock or disbelief. The intensity of the emotion seems genuine, although there are subtle signs that they might be trying to control or mask the full depth of their feelings.