The graphic photo was of a dead Iranian protester, slung over a fence. It read,

Question: Who in America supports this mullahs’ crime? ‘Answer : Nancy Pelosi #NancyPelosiFakeNews #IranProtests2020 #IranPortests’

The photo was removed shortly after for violating Twitter rules.

As part of the anti-Pelosi Twitter storm, Trump also retweeted an image of Pelosi and Chuck Schumer in Iranian dress in front of an Iranian flag.

Independent – Trump appears to tweet image of dead body
Newsweek – TRUMP RETWEETS DOCTORED PHOTO OF NANCY PELOSI WEARING HIJAB IN FRONT OF IRANIAN FLAG TO HIS 70 MILLION FOLLOWERS
CBS News – Trump retweets fake image of Nancy Pelosi and Chuck Schumer in front of Iranian flag