Like new LeRoi “Ethel” in 14 karat yellow gold. This piece fits into a 16 gauge internally threaded bar (not included). It is oriented to the right conch, as seen in the photo. Gorgeous piece!! I had this listed previously and forgot about it, someone tried to purchase it and I didn’t ship it because I hadn’t been checking in on Poshmark. If you’re still out there and want it, I promise you’ll get it this time! I’m so sorry about that!