The scene is in a cave. The Virgin lies exhausted on a couch, her head, nimbed and veiled, to the left. The child is in a crib, above, partially obscured by the Virgin's couch. An Ox and Ass lean over the couch. A light from an arc in heaven sends down three rays toward Virgin and child.
Lower center is a maid servant fanning the child who is wrapped in cloths.
On the upper left are the magi, approaching up the mountain side.