$re = '/^\s*\?\s*(.*?)\s+\d+(?:\.\d+)?[kM]?/m';
$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 ';
$subst = "$1,";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
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 PHP, please visit: http://php.net/manual/en/ref.pcre.php