A t the centre of the panagiarion is a round medallion, forming the bottom of a shallow dish with a broad, flat rim. Carved in low relief on the medallion is a half-length depiction of the Virgin, frontal, arms outstretched in supplication. This representation displays certain similarities with busts of the Virgin on cameos like the one in the Monastery of Chelandari.
Traces of red are still visible in the incised letters.
The flat rim is decorated in low relief with sixteen arches framing fourteen busts of saints, probably apostles and prophets, and the scenes of the Crucifixion and the Anastasis.