433d Medical Group emblem.  The group uses the 433d Wing emblem with the group designation on the scroll.
<a href="https://en.wikipedia.org/wiki/United_States_Army_Institute_of_Heraldry" class="extiw" title="en:United States Army Institute of Heraldry">en:United States Army Institute of Heraldry</a>
2011-07-28
<a rel="nofollow" class="external free" href="https://media.defense.gov/2011/Jul/28/2000234208/-1/-1/0/110728-F-JZ020-443.JPG">https://media.defense.gov/2011/Jul/28/2000234208/-1/-1/0/110728-F-JZ020-443.JPG</a>