MADRID, SPAIN - SEPTEMBER 16: Queen Letizia of Spain greets the audience and the orchestra after playing her happy birthday on September 16, 2022 in Madrid, Spain. On the occasion of the 50th anniversary of cancer research of the Spanish Association Against Cancer (AECC), an extraordinary concert is held by the Spanish National Orchestra and Choir.  (Photo by David Benito/Getty Images)
MADRID, SPAIN - SEPTEMBER 16: Queen Letizia of Spain greets the audience and the orchestra after playing her happy birthday on September 16, 2022 in Madrid, Spain. On the occasion of the 50th anniversary of cancer research of the Spanish Association Against Cancer (AECC), an extraordinary concert is held by the Spanish National Orchestra and Choir.  (Photo by David Benito/Getty Images)
MADRID, SPAIN - SEPTEMBER 16: Queen Letizia of Spain greets the audience and the orchestra after playing her happy birthday on September 16, 2022 in Madrid, Spain. On the occasion of the 50th anniversary of cancer research of the Spanish Association Against Cancer (AECC), an extraordinary concert is held by the Spanish National Orchestra and Choir.  (Photo by David Benito/Getty Images)
MADRID, SPAIN - SEPTEMBER 16: Queen Letizia of Spain greets the audience and the orchestra after playing her happy birthday on September 16, 2022 in Madrid, Spain. On the occasion of the 50th anniversary of cancer research of the Spanish Association Against Cancer (AECC), an extraordinary concert is held by the Spanish National Orchestra and Choir.  (Photo by David Benito/Getty Images)
MADRID, SPAIN - SEPTEMBER 16: Queen Letizia of Spain greets the audience and the orchestra after playing her happy birthday on September 16, 2022 in Madrid, Spain. On the occasion of the 50th anniversary of cancer research of the Spanish Association Against Cancer (AECC), an extraordinary concert is held by the Spanish National Orchestra and Choir.  (Photo by David Benito/Getty Images)