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The AP does indeed claim that this photo is from July 27, but I think that date is wrong. I can’t find this exact picture elsewhere but here’s an article with an almost identical picture of him climbing the same stairs, published in March.Blue and black suit. Airplane fuselage in the background of one. Different angles of his face, different lighting. They are similar, but I wouldn’t call them nearly identical.
And yet here is another source with a different photo recently, so there’s no reason to think this tweet’s photo is deceptive:
https://www.independent.co.uk/news/world/americas/us-politics/donald-trump-ear-bandage-shooting-b2586901.html
It looks entirely consistent.
I stand corrected.