Looking at it some more, with a soft filter, this could be an artistic photo.

There's a certain photo paper element to this photograph. Clearly the flash is to the left, or, if looking at the lens straight on, the flash is to the right side of the camera. The paper scratches are authentic, not anything Photoshop would duplicate. I'm sure the dark room boy made an extra copy for himself, whoever she is, she has a nice body and pretty pink nipples.