For me it's the weird, protuberant nipple in the center of the dog's belly and the fact that the girl looks like she belongs in a 1990s commercial for cold medicine.
I feel like somebody, maybe a Technician, could conjoin this with another viral photo from this week, to "show" her and her puppy cowering under a jumping Elon. Since it's really his platform that's causing her pain, and even her existence.