Looks to me like there are 2 more pips not reflecting in the light.

It's from that episode where Q shows him what his life would have been like if he hadn't been stabbed through the heart in a bar fight.

Young but already bald Picard?

two of the pips aren't reflecting the flash and the photo has soft focus and very high contrast

how dare you accuse this cancer survivor of having the wrong pips

I'm TNG it was just the female security officers they killed.

Cancer recovery IS wholesome.

There are a lot of different people out there with a lot of different approaches to life among patients, but there are patterns that pop out. The most common is just straight endurance, more of a True Neutral approach of let’s just do the steps and tortoise walk through this until it’s done.

Then there are the I hate my life for doing this to me and want to pay it forward to everyone in healthcare because I have to be here at all types.

Then there’s the I’m going to roll with it because it’s no one’s fault, scared but not rancorous, and while this sucks, I want to find whatever joy I can in all the details of the life I have right now.

Tom here is like I have a thin frame and a bald head from the chemo, Picard it is this Halloween. Then he gets all his hair back, puts on the weight and a lovely beard and uses that costume again. Dual purpose probably, to bask in his recovery. A celebration of getting to use the costume again in a new way with a better, healthier body.

Tom is the latter patient. Those patients are among the most wholesome things in life you will ever encounter simply because of who they are as people.

Well it could have been much worse with a third panel "Tasha"