小太りの男性は黄色いカラフルなネクタイをしている
A man in a dress shirt,tie,and possibly lanyard for holding glasses,is holding sharpie and writing on one of two similar ties in front him,man in white shirt and tie sits at desk,holding sharpie and writing on piece of paper,he appears to be working on project or task,possibly medical record or patient information sheet,desk is surrounded by books,suggesting professional or academic setting