Who knows, but Gateway Pundit spells it out as 140+
Pompeo only posted a (cropped and collated) version of the pic with and POTUS. You are correct, no pic with the three of them was posted. Not from today with the others, in any event.
with him* and POTUS
That's correct. Pompeo's head is in a different position with respect to the flag behind him in the two pics. He and POTUS are slightly to the right in the two-man photo.
I nominate you for script writer for the next part of the movie.
There is the matter of the autopsy attended by more than one expert pathologist.