https://www.milsurps.com/images/impo...naramili-1.jpg
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Those guys are under direct contact...and the tank prepares to eliminate the problem...
The TC is not standing up in the top hatch, either.
The "tank" in this image was one of the M36 tank destroyer series, probably a 90mm Gun Motor Carriage M36B1. The exact model is obscured by the personal equipment attached to the open top gun shield.
As to what is happening apparently the photographer was unaware or unconcerned of the "action" happening behind him, and that you're reading into this image.
You know...we really don't care about that part...it's not an APC...
Maybe he's behind the next forward (tank)...? I think we're reading the body language of the medic correctly. Combat photogs are just that, under fire too...
I find it interesting that the rifles are still slung.
BEAR (BDY)
Looking at the 'action', I wonder if they've just had a few mortar rounds lobbed their way land at their front.