Italian man, wearing a doctor's uniform. (18th century) Sitting in an armchair reading a book

score_6,score_5,score_4, (((X-Ray, xray))), ((long neck)), ((black and white, b&w)), (DoF), (blurred), (bokeh), (speech bubbles), chromatic aberration, deformed body, ugly face, extra arms, watercolor, sepia, worst quality, low quality, lowres, poorly drawn face, bad anatomy, blurry, watermark, signature, ugly, artifacts, bad image, anime, tail, ponytail, armpit hair