First impression was that this gentleman was suffering from severe abscesses (pus) around infected arm tissue. Second impression was that , some how, he had stuffed pillows under the skin of his arms. Third. impression, he looked like the Philsberry Doughboy. Final impression, he is overcome by mental delusions that he really has true muscle mass in his arms. Better if he just bought a superman's suit and walked around in that all day. His future health would be so much better and probably he would get to keep one or both arms, without the need to amputate either one due to infections, blood clots, etc. Of course he could claim that he had the biggest stump's in the surgery ward after the operation, with pictures to prove it.
The classic BB'ing measurement for a man is having about the same size arm, calf & neck. I see his neck, which looks like Chicken Little's, wonder what his calf's look like.