I flipped it back in an image viewer and the US Air Force on the uniform does not read correctly.
If it's a photoshop, it's not a basic "rotate", but more involved.
Actually, it looks like JFnQerry might have been inserted into that photo. That doesn't excuse his saluting leftie but the original phot from which it was cropped might be something different entirely.
As someone else mentioned, comparing the edges of the figures sees Qerry as "very sharp" and the AFOfficer somewhat fuzzy.