use strict;
my $str = ' ? 5girls 57k
? acoustic guitar 1.4k
? bass guitar 4.2k
? black choker 144k
? black dress 227k
? black footwear 275k
? black pants 133k
? black ribbon 128k
? black shirt 201k
? black shorts 117k
? blue eyes 1.7M ';
my $regex = qr/^\s*\?\s*(.*?)\s+\d+(?:\.\d+)?[kM]?/mp;
my $subst = '$1,';
my $result = $str =~ s/$regex/$subst/rg;
print "The result of the substitution is' $result\n";
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for Perl, please visit: http://perldoc.perl.org/perlre.html