FOR MORE INFORMATION ON THIS ITEM!!! Problems or concerns, PLEASE MESSAGE US. 1/2 inch sterling silver enameled flower four way medal on 18 inch stainless steel rhodium plated chain. Behind the flower piece (appears by sliding the flower piece) is the "shadow" four way medal which shows the stamped sacred heart, st. Joseph, the miraculous medal, st.The back of the shadow four way medal also shows the stamped Our lady of Mt. Joseph, and the miraculous symbol. Includes an elegant deluxe velour jewelry box.