There are inscriptions and a highlighter in the book (about 16 pages) Look at the photo. "Fundamentals of Pathology 2022 by Hussain A. Sattar is an illustrated medical textbook that focuses on the subject area of pathology. Authored by Sattar, this textbook provides comprehensive coverage of pathology concepts in a clear and informative manner. With its detailed illustrations and educational content, this book is a valuable resource for students and professionals in the medical field looking to deepen their understanding of pathology."