A woman in a red shirt is sitting at a desk

sweating, biceps bursting_ripping through sleeves of red blouse (wide hips_large breasts_rippingclothes_amorous)A middle distance -up POV shot frames an middle aged 40 year oldbrown long haired woman's hair standing up showing off hands on (large breasts), The bold red shirt and black pants radiates warmth, complemented by the subtle sparkle of her pearl necklace and the hint of lipstick adding a touch of femininity. Her blue eyes, rimmed with red nail polish, convey a sense of anxiety and pleasure, ((pained grin pursed lips, glazed expression)), dark doctor's office,

worst quality, low quality, bad anatomy, bad hands, bad body, missing fingers, extra digit, fewer digits