The large white pearl is arresting on its own, but stud it with bezel set yellow/orange sapphires and white diamonds, and you have something spectacular! The pearl is drilled and has a white gold sleeve that protects it from wear from the chain.
14 karat white gold
15-17 millimeter white South Sea pearl
0.21 total carat weight of orange and yellow sapphires
0.08 total carat weight of round diamonds, VS clarity