My favorite part of the video is that Trump keeps trying to do this stupid fucking power move where he gives a firm handshake and refuses to let go. Newsom was ready for it and Trump had to forcibly pull his hand away.
Edit: Sorry for not being clear. There is a link to a tweet in the article that has the video.
Judging by the (presumably) vertical structures in the distance, the photo is tilted 4–5 degrees CCW.
Some of it is certainly the camera angle and perspective. Everyone except Newsom seems to have a lean.
However, you can also see pretty easily that trump’s lean is far more pronounced. It’s also not the first time it’s come up. Trump’s had a noticeable forward lean for years.