I think there is one obvious suspect for who sent the photo that you are overlooking...
MowMow himself. Clearly he publicized this picture of himself at a difficult time in his life to raise awareness of how cruel and degrading we humans are by dragging our poor pets to the vet to be poked at.
(In all seriousness, it's an adorable picture but I can imagine it would be very unsettling to stumble upon your own cat's picture unexpectedly.)
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The Boys: Maisie, Zephyr, and Cullen.