The image is a page from a book or document, specifically page 3 of a numbered list. The text on this page is in Vietnamese and appears to be discussing a topic related to orthopedic surgery. The text mentions "trường hợp xạ định" which translates to "radiation therapy" in English. The page also includes a date, "9 tháng 12 năm 2013," and a reference number, "Năm sản 216 USD."