This is a study on the construction and interpretation of mathematical meaning associated with gestures, oral speech, and drawings. We describe a learning episode on adjacent graphical pattern in a sixth grade class. The investigators utilizing the tools of linguistics and the study of gestures to analyze the conceptualization of mathematical concepts related to graphic pattern generalization. Case study method is adopted. The results of this study indicate that, even for elementary topics, the abstract nature of mathematics was made evident through gestures demonstrated during the episode. Instructional implications of this research are included.