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Most of the arguments both for and against "artefacts" such as this being evidence of a hoax have already been presented in this thread:
Apollo 17 Photo Anomalies, Proof of a Hoax ?.
Although this image looks to me to be from a different mission (Apollo12?) this thread is likely to go no where fast unless substantially different arguments can be presented than what has gone before.
It would also be helpful if you could present some reasons as to why you think this picture constitutes evidence that Apollo is a fake. After all if I just post a picture and say "this proves it isn't" would you accept that as an argument?
Hmmm...
This sounds suspiciously familiar doesn't it?
Anyway, Waspie, you're right, it's a highly cropped version of AS12-48-7071:

That's Pete Conrad, as photographed by Al Bean (the guy in the helmet visor reflection). They're downhill to the South of the LM during EVA-2, and as flyingswan suggested, that is indeed the all-too-thouroughly fleshed-out smudge of dirt on Pete's hat.
The "artifact shadow", which appears on Al's left, is of course the shadow created by his arm and the camera mounted to his chest. The Sun is roughly at Pete's 8:30-8:45 position, Al's 2:30-2:45 position, and about 16.5 degrees above the horizon when this photo was taken.
The guys were actually taking tourist shots of each other. This is Pete's photo of Al (AS12-49-7281)....same location, photos taken within seconds of each other...

Here, you can see where the shadow from Al's arm and that camera would be cast...when he had his hand up on the camera and oriented the lens toward Pete, right where it appears in Pete's visor.
Gav...
Hi there!
Listen, I believe the flag was way up there by the LM, some 600 feet North of where the guys were when this picture was taken!
But wait...in that second photo, there is the unmistakable rack of arc lights reflected right there!
...NOTE:
No, I'm not serious, if any of you folks were wondering. That statement was a joke, really. Probably not a wise thing to say at any rate, and completely out of character, but it was a joke. There aren't any arc lights there!!!!!