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A photorealistic side-view medium shot in a sterile hospital room setting. A 25-year-old patient with short blonde hair lies on a medical bed, her legs spread wide apart and held high up in the air. One male doctor's thick, erected penis, encased in a condom, penetrates her vagina, while another male doctor's erect penis in a condom deeply penetrates her anus. The man positioned beneath her has his muscular arms wrapped around her legs, hands firmly grasping her head. His large testicles are glistening and heavily covered in wet pussy juice. The men's faces are completely out of frame. The girl is smiling brightly, looking towards a 45-year-old nurse standing nearby. The fully clothed nurse smiles warmly, holding a lit birthday cake toward the patient. High-detail textures on skin, fluids, and medical fabrics under bright clinical lighting. <lora:klein_snofs_v1_4:1> <lora:klein_slider_anatomy:2.5> <lora:fk_nelsondp:1.2>