A black and white sugar skull with decorative patterns (sugar skull_23)

A black and white image of a sugar skull. The skull has intricate swirls and flourishes around it. There are two round holes in the middle of the skull with smaller circles around them. There is a heart with a keyhole in the center of it. Above the heart there is a design of flowers and leaves. In the middle there is an ace of spades. The teeth are in the shape of a heart.