The Queen has been spotted in public wearing a hearing aid for what is believed to be the first time.
The 93-year-old was pictured with a brown and red device lodged in her right ear as she arrived by car at Sandringham on Sunday wearing a camel coloured coat and hat.
It comes five years after her husband the Duke of Edinburgh was seen wearing discreet behind-the-ear hearing aids when he was also 93 in October 2014.
The type used by the Queen appear to be in the canal hearing aids.
The NHS England website states these "aren't usually powerful enough for people with severe hearing loss".
Guidance states hearing aids are only helpful if someone still has some hearing left and can help wearers pick up on everyday sounds like doorbells, phones, and speech if their hearing is beginning to fail.
The Queen was attending church service at Sandringham on Sunday.