This picture comes from a very good idea, it is meant to convey this sense of desolation and, let's say, "illness", and, well, it does. The good use of sepia tones, the fog and, in general, the editing are nicely done and successfully make us wonder what has happened here. So the shot is a good one. Though... There is something I cannot really define, that could be improved. It seems a little too "vertical", for example, probably because there are unwanted details over the edges, but an horizontal cut would have been better, in my opinion. Or, if vertical it must be, maybe there's a little too much sky: a higher horizon line could have made the shot more full. Above all, a very nice shot!