I think that might be holand. That's renton board alright but that looks more like holand's boots and pants. One hell of a night uh? Tusnade being nude doesn't seem to fit with this picture though does it?
It's a doujin cover by Celluloid Acme. It probably just threw the characters on there to show who's in the doujin, and made Tsunade naked to show it's porn.
Seiyu Bridge that Doujin Circles Build Collaborating Lead and Support Characters For that/those Kinky Sexual Situation(s):Naruto and Renton share the Same Seiyu, Celluliod Acme is aware of this and they can Manifest this desire to create Doujin Illustrations/Manga to pay homage to this besides the potential for Tsunade-Naruto-Talho Threesome with Holland Helming the Cuckhold or an Orgy to which Demon Fox Takes Top and those Three are his Bottom Bitches and Cum-dumps. Is this a Doujin Cover BTW?