Yeah............I don't think it's a map per se but rather a place of interest. Surely looks like the Finger Lakes (close to where I live)

Also, I'm not sure that's a permanent tattoo. Looks like a temporary one, no?
Doesn't matter. It's very very odd.

Off thread-topic: I think someone is going to 'die' soon. The crescendo is so loud that something's GOT to give.