The image is part of a video montage of several current and deposed world leaders that is projected onto a giant screen during the song "Nobody KnowsMe" during Madonna's current world tour.
Nobody who knowsme has ever seen me wear a tie except under protest, and the few that I do possess of my own volition are accidental trophies, "given" to me by the maitre d's of places where neckwear is compulsory.