Photorealistic gynecology exam room, camera at the foot of the table looking toward the patient. Bright clinical fluorescents, exam lamp, white walls, steel cabinets, glove tray, rolling stool, privacy curtain. No text, no logos. A late-40s woman in a high lithotomy position. The metal stirrups are cranked up high on tall poles, footrests well above the table, roughly level with her knees and chest. Both bare feet are lifted in the air and locked in those high footrests, toes pointing up, calves angled steeply upward, knees bent and pushed wide to the sides. Hips at the edge of the padded table, pussy fully exposed to the camera. Long straight blonde hair on the pillow. Confused, uncertain face, brows knit, mouth slightly parted. Sensible makeup, expensive necklace and bracelets. Pale hospital gown bunched at her waist, chest covered, hands on her stomach. Feet clearly off the table and elevated in the stirrups, not resting on the mattress, clinical color, sharp focus.