You’re right. The President and Mrs. Obama were cut from the picture, flipped, and then placed closer in the image superimposed over the real photo. You can tell because the Obamas are closer to the camera than the original. Yes, the Marine medals are on the wrong side and President Obama’s ring is obviously photoshopped in.

I had already come to that conclusion, but neglected to come back here and correct myself. Thanks for pointing it out, though, Casey.