“Dr.” Koko (right) continues to identify areas that need attention. Koko is often Penny”s reminder to take care of small problems so they don”t become larger ones. Here she is pointing to her foot – after Penny had asked her “where do I have issues?”
(Penny had been having some recent problems with her right foot.)
Note that in this case Koko M.D. is pointing to her left foot, while Penny was having a problem with her right foot. This is consistent with the “mirror image” perspective taken by Koko in the previous KokoPix (“elbow”).