"The following may be uploaded, but will be put to a higher level of artistic and qualitative scrutiny than normal, and you absolutely must tag them with the corresponding tag: (...) Grotesque: Any depiction of extreme mutilation, extreme bodily distension, feces, or bodies that are far outside the realm of normal human proportion (for example, breasts that are larger than three heads in size or penises that are larger than two heads in size)."
And considering that this is Hayashi's art, i can guess that she's filled with white stuff and just inflated, or pregrant again. I am not fan of this artist but this art is completly all-righ and does not deserve to be flagged or deleted.
??? The only wrong thing in this image is her too big lower parts of body, and her inflated belly. And yes, anatomical nightmares are covered by these rules if they are of high quality. Hayashi's artstyle is kinda original but i think that it's qualify for "high quality". Why people are so wrong, and refuse to read rules?