US Army Style quilted button in liner for Cold Weather Jacket ECWCS M65 etc. 
Not an issued item but looks as though it may have been made in country for desert ops, a basic button in liner that would be suitable for various jackets.

"In Country" made 
Desert sand colour

Labelled size Large Short

Armpit to armpit about 26.5"
Length from shoulder to hem 27.5"