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masterpiece, transgender, shemale, futa, futanari, (HD:1.2), (High definition:1.2), (high resolution:1.2), (gorgeous African super model:1.3), (dark brown skin:1.3), (facesitting:1.7), The image is an illustration of a tall, busty and chubby nurse with a perfect rounded, apple sized very big plump ass. She sits astride on the head of a white male patient. She facesits the male. She covers the face of the male with her ass. She sits firmly on him. The male patient lies flat on a hospital treatment table. The male patient is tied down to the table. Head, arms and legs of the male patient are visible. The male patient has a reddened head, (reddened head:1.3), . The nurse is at a age of 32, has a very fit muscular body and has black, very long braids reaching the ass. She wears a tight shiny black latex nurse uniform, (uniform:1.2), (black latex uniform:1.4), white bloodstained apron with red cross on it, (Apron:1.2), . The ass is covered completely. The ass is dressed. The ass is not nude, (not nude:1.1), . She wears very long black latex gloves over the elbows, (Gloves:1.5), . She wears a wristwatch at her right wrist, has her right arm lifted up and is looking at the wrist watch, (looking at watch:1.9), (arm lift:1.2), She laughs diabolically, (laughing:1.3), Background szene is a medical treatment room. Beside the table stands a stainless steel table with a plenty of stainless steel surgical operating instruments on it, (surgical instruments:1.6)