| Description | Portrait medal. Obverse: bust of Maria Theresia, left profile, hair in short curls, wearing bandeau decorated with pearls, drapery falling from the head, fastened at the breast with brooch; in low richly embroidered gown, and mantle fastened with jewel on the shoulder |
| InscriptionContent | Obverse: IMP . MARIA . THERESIA . ACAD . CONDIT .
Reverse: ACADEMIE DES SCIENCES, DES LETTRES ET DES BEAUX-ARTS DE BELGIQUE 1772 - 1972 |