It's a picture from the oval office where a small black circle has been drawn around foliage seen out the window. A red, wider circle is then drawn around the smaller circle, but also includes some of the area of the window itself in addition to a portion of the nearby flag.
During an evaluation, a psychiatrist asks his patient to interpret a number of drawings.
"I'm going to show you some pictures," the psychiatrist says, "and I want you to tell me what you see."
"Okay, says the patient."
The psychiatrist holds up a picture of a football stadium. "That's two people having sex," says the patient.
Then the psychiatrist shows a picture of the Rocky Mountains. "That's two people having sex," responds the patient.
The psychiatrist then holds up a picture of of a speedboat. "Two people having sex," says the patient.
"I think I've figured out the problem, " the psychiatrist concludes. "The problem is you have an obsession with sex."
The patient quickly responds, however, and says, "but YOU'RE the one showing all the dirty pictures!"