Question about a picture

There's a photo that has been published on several sites - first by Al-Jazeera - and it is an extremely disturbing picture.  As such, I'm not posting it to the blog proper, but am linking to it so that you have a choice of seeing it or not.  You probably already have, though - its' the picture of a child who has died as the result of massive head injuries (i.e. most of the child's upper skull is missing).

I've noticed two things about this picture - one, while the picture is horrifying - there seems to be something ... odd ... about it.  In general, when one has that serious of an injury, there is a fair amount of blood and other ... viscera .... visible, and it's not stuff that's easy to clean up.  In this image, though, there is none.  At all.  Or any indication that there was any.

The other is that no one else (that I'm aware of) has commented on it.

This leads me to think that I'm missing something here, and I don't want to make mountains out of molehills.  The first time I saw the image, I thought it was a picture of a doll or something like a manniquin.  So, I'm asking quite sincerely, can anyone tell me what I'm overlooking?  I've never been a terribly visual person, so it's not unheard of for me to not necessarily be able to tell what is in a picture or why a picture looks strange.  Any input would be most appreciated.