White dress on the far left has a hand around her waist, on her right hip, that doesn't belong to anyone (unless it's the woman Trump is standing directly in front of). It appears to be a white person's hand, though.

On Trump's left shoulder is another.. hand? Hairhand? That defies anatomical explanation.

Four of the women are wearing identical earring-like objects.

Three of the women are identical triplets.

I don't think it's normal for there to be four US flags in the background of these kinds of shots.