I've checked it quickly, and I don't think there are any writings or folds. It's probably a new item, never opened. "Medical and Dental Physics" Matsutaro Akeno / Takeji Ayukawa / Toshiyuki Fujishiro Price: ¥4000 #MatsutaroAkeno #Matsutaro_Akeno #TakejiAyukawa #Takeji_Ayukawa #ToshiyukiFujishiro #Toshiyuki_Fujishiro #book #nature/physics Please refrain from purchasing if you are looking for a perfect item, as it has been in someone else's possession once.