This might be mirroring the recent Cloud Visions 20 pointing to New York by incorporating pictures from the World Trade Center disaster, and also to sucker-for-heartbreak problems that surfaced in Cloud Visions 22. The nose of the ghost runs under Hot Springs to Pine Ridge in South Dakota, over Crawford and Chadron in Nebraska. Of course, "Crawford" and "Chadron" symbolically synchronize with the anvil in the heart-mouth of the ghost at Wichita. Behind the ghost a gator shows smoking nostrils with his forehead at St. George and his eyeballs at Kanab, Utah.
Above, a hand pulls on St. James Bay like a glove on a phallus, itching for some Ontario bottom between Sandy Lake and Thunder Bay.

By now the little fellow in the middle of the larger fellow pointing to New York has become a penguin in a pouch, and the cloud around New York state has become a crescent moon with a face on it. See how this moon incorporates some Bessarion bottom up around St. James Bay, rather like the real moon.