The image is formatted in a tweet with image format. The caption says "handle with care" over two pictures. The first picture is of an Amazon package with "fragile" written in sharpie. The second picture is on the inside the box with a paper and the text "a middle manager's ego" on it.
I used to clip a crossword puzzle to one and work on it throughout the day. As long as it's on a clipboard, people think you're working!