18K Karen gold Filigree Design Woman's Profile Coral Cameo Pendant brooch
The lady face to the left, very fine and detail carving. 
Filigree frame, C-lock with catch closure, retractable bale.
The coral is 27.0 x 19.0mm, the brooch is 36.0 x 29.0mm
Weight 9.3 grams, no assay mark, tested for 18K