that looks the shit!!
looks real, btw here see the dust or the mark on the red circle, it's on 1 but not the other
Defo not photoshopped and the blue ports of the graphics card are each plugged into the mobo and g'card
this is most likely a special motherbored designed for this
O and what would you know:
NewEgg sells motherbored with 5x pci express ports haha rofl