It's not even clear where it's from, but alongside various stories about Trump's healthcare legislation woes, it's been on the BBC News homepage for what, two days now? For this morning's one, they've started zooming into it. By tomorrow, if the legislation has yet to pass, we'll be inside his weird angry tired mouth.
If someone could figure out the source (it doesn't seem to be Reuters) that would be fabulous. I've used a fractal image enhancement application to make this 2600-pixel wide enlargement, but it's just not the same as a nice raw wire shot.