A pectoral cross or pectorale (from the Latin pectoralis, "of the chest") is a cross that is worn on the chest, usually suspended from the neck by a cord or chain. In ancient and medieval times pectoral crosses were worn by both clergy and laity, but by the end of the Middle Ages the pectoral cross came to be a special indicator of position worn by bishops, and the wearing of a pectoral cross is now restricted to popes, cardinals, bishops and abbots. The modern pectoral cross is relatively large, and is different from the small crosses worn on necklaces by many Christians. Most pectoral crosses are made of precious metals (platinum, gold or silver) and some contain precious or semi-precious gems. Some contain a corpus like a crucifix while others use stylized designs and religious symbols.