A single female is giving head, being double penetrated, and tit fucked all while a midget is standing on her back jerking it. Most often not done for pleasure but for DIFTS
Joe: "Yo me and the bros totally Tokyo Domed this girl last night"
Andrew: "Seriously?! Where did you find a midget?"
Joe: "From the midget salesman"
Andrew: "That's fuckin creepy, and so legendary"