Who holds pears like that?!

[Koen G]

Whatever she is holding, it's sprouting.

That's most likely a part of the branch it was growing on... I don't know anything that sprouts like that. A remarkable detail is that, like bi3 noticed, the figure returns in the background and those also have "leaves", some explicitly shaped like a cross.

Marco: aah yes, I remember vaguely. That must be why it feels so similar to the Tacuina (which is where the pear-picking woman is from).