NASHVILLE, TN (WSMV) - A smiling moment for a Middle Tennessee family has turned into a multi-million dollar lawsuit.

The picture of a man with Down syndrome taken in 2004 was repeatedly altered and posted online, prompting the lawsuit.

In the picture, Adam Holland is smiling big for the camera. The picture shows Holland and a picture he drew during for an art class at the Vanderbilt Kennedy Center.

The class was for those with developmental disabilities.

Read more from our NBC affiliate WSMV.