this is a mushroom mixed with a ballerina and the mushroom is made to look like it is the ballerinas tutu. everything in the image is black and white apart from the mushroom. the ballerina is out of proportion with the mushroom and the rest of the ground.
Makoto Aida, Azemichi (a path between rice fields) Japanese mineral pigment, acrylic on Japanese paper, 73 x 52 cm. Collection of Toyota Municipal Museum of Art; courtesy Mizuma Art Gallery Feels Vauguely creepy - Japanese as opposed to American Gothic?