Comments and views cause an image to trend. Expect to see some more.

That upload is relevant to the meme itself, and the nature of it is inherently going to be NSFW.

I can see why people are querying this upload.

If it were me, I'd delete this for not really being a meme. But it's not up to me alone. And the heart-shaped boob thing is a memetic trend in fan art, as opposed to this, which is just a swimsuit.