Elon musks face photoshopped on the body of an old lady. He's been walked by a carer. He says "cisgender is a slur". The carer replies "sure grandpa, let's get you to the bottom of the ocean". On the lower part of the image, a picture of the sea and an orca are photoshopped on top of the picture
https://media.snowdin.town/media/8081b51146c4774ca8e6aaa0a916228cd5e95795a22b53a7edbc3284d41c7a54.png