I think the picture is sort of us imposing what we want it to be onto it. It's incredibly blurry, and therefore I think it's probably just a nondescript photo (I see a standing/walking person, myself). On the other hand, I'm never absolutely convinced that Team Silent let any detail be meaningless. So hmm.
"Just because you're paranoid...don't mean they're not after you"
To me it looks like a person walking with a brown jacket or coat. A lot of other people seem to think it's a person walking as well. However the second I looked at it I knew what you were thinking. It does resemble PH.
"Never accept advice from a man wearing white pants," Michael J. Nelson
I see Pyramid Head, while my brother says that it is a little girl.
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Well, actually when I was looking at the picture I saw something far more weird than that "pyramid head": Cybil is using a wireless telephone!!!!! Did they have those back in the eighties!?
IN MY RESTLESS DREAMS I SEE THAT TOWN, SILENT HILL