Madonna is rarely photographed with her family, but posted this portrait on Instagram last Friday, taken at her 59th birthday bash in Lecce, Italy. She is with her children Rocco, 17, David, 11, Mercy James, 11, Lourdes, 20, and four-year-old twins Stella and Esther. The singer is the biological mother of Lourdes and Rocco, while her other children are adopted.