Four pictures and one is slightly different than the rest

Oh shit my dude, you are in the big leagues

Am I right in thinking this is previous presidents with hurricane victims? And then whatever the heck dump truck is doing

Probably at a rally. He has visited sites of weather related disasters like when Texas got struck by that hurricane last year (or two), and he has a trip planned to visit California to survey the damages done by the wildfires.

The background has a symbol that I think is supposed to let you know the medical center but all it says is "A University Medical Center"... So it's probably Liberty University? Idk.