best quality,masterpiece,highly detailed,ultra-detailed, 
an old man,
suit, collared shirt, 
Hospital - serious and somber, with sterile environments and bustling medical professionals., unreal engin 5,octane render,(2D:1.2)

lowres, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worst quality, low quality, normal quality, jpeg artifacts, signature, watermark, username, blurry, artist name,by  bad-artist-anime by bad-artist,(monochrome, greyscale, BW:1.4),  (7 fingers:1.9)( 6 fingers:1.9) (twisted fingers:1.9) (too long fingers:1.3)  (3 arms:1.9) (3 legs:1.9) negative_hand-neg,