So this picture illustrates a means by which the viewer can determine whether they are looking at a photo of Hillary or a photo of her photo-op standin. The stand-in wears jackets that fit correctly with much less shoulder padding (has more squared shoulders naturally and only has a little shoulder padding - see the photo of the stand-in greeting the girl in front of an office building) whereas Hillary’s arms are heavier and shoulders are more rounded so she wears really heavy shoulder pads like the one shown elevated in the picture. Just my 2 pesos.