Wall Street Journal exclusively accessed a birthday letter Donald Trump gave to Jeffrey Epstein for his 50th birthday. The letter reportedly was within the outline of a naked woman, and was in the form of an imaginary conversation between Trump and Epstein.

The claim can be broken down into several components: 1) The Wall Street Journal exclusively accessed a birthday letter from Donald Trump to Jeffrey Epstein for Epstein's 50th birthday; 2) The letter was framed within the outline of a naked woman; 3) The letter was in the form of an imaginary conversation between Trump and Epstein. Multiple reputable news sources, including the Wall Street Journal itself as well as CNN, Newsweek, The Independent, and Hindustan Times, report that the letter contained several lines of typewritten text framed by a hand-drawn outline of a naked woman, with Trump's signature incorporated into the drawing.

The text inside the outline was described as an imaginary conversation written in the third person between Trump and Epstein. While Trump has denied drawing a naked woman or authoring such a letter, the existence of the letter as reported by the Wall Street Journal and corroborated by other outlets supports the core factual elements of the claim. The exclusivity of WSJ's access is consistent with their reporting.

The denial by Trump introduces some dispute about authorship or intent but does not negate the existence or described content of the letter. Therefore, the claim is mostly true based on available evidence but should be understood in context of ongoing disputes about authenticity and interpretation.