Isaia Napoli Dress Shirt Mens 16 41 Blue Plaid Cotton Button Up Italy The left cuff is missing one of the buttons, shown in photo 4. The wrist button is still there so the sleeve closes, it's the one a little further up around the wrist. No other issues. No stains, other damage, or tears. Pre-owned - Good Clean and odor free. Please see all photos and measurements in photos. I ship items out every day Monday-Friday, so expect a quick delivery. Thanks!