No writing. Cut. This was done by an amateur, so although a cutting machine was used, there are variations in size. Please refrain from purchasing if you are concerned about this. Due to work, I have allowed extra time for shipping, but I will ship as soon as possible. "Narrowing Down from Image Findings! Easy and Clear Explanation of Head Image Diagnosis" Megumi Yamada Price: ¥4600 #MegumiYamada #Megumi_Yamada #book #nature/medical_science/health