I've concluded Q took the image from the Hillary account. The images are an exact match.

The first time this image showed up on the web it was in color. It was posted on Twitter by Denis Dison Jun 5, 2016

The first time this image showed up in black and what was Oct 16, 2018 when Hillary used it as a background image. It's also the first time on the web with the extra wide shot. Q posted the image March 2, 2019, so Q picked up the image from Hillary's page.
Has the selfie turn up?
What the hell are you talking about?
Someone should ask her, “How did he taste?”