Italian Paintings of the Thirteenth and Fourteenth Centuries: Madonna and Child with Saints and Angels, c. 1345 | National Gallery of Art
https://www.nga.gov/research/publications/italian-paintings-thirteenth-and-fourteenth-centuries-0/italian-paintings-thirteenth-and-fourteenth-centuries-madonna-and-child-saints-and-angels-c-1345The Christ child is holding a fruit, perhaps a pomegranate, [5] in his left hand