It's possible it was issued to the major press by a "known entity" as such and reported to be a candid shot of them leaving.
Tbh before the Mother's Day debacle I was very much "eh, she's had surgery and although the PR has been been abysmally handled there's nothing to see here"
Now I'm not sure what to believe and what not to believe. I'm not buying I to the various conspiracy theories of her being dead, body doubles etc ,but I do think something is really quite wrong now and hope that all involved are actually okay as this seems to be spiralling wildly out of the RFs control.