The confirmation page has an "X" in the box where the photo should be. What does that mean?
That means that the photo upload failed. Therefore, you should submit one printed photograph meeting our requirements, along with the online DS-160 confirmation page, to the U.S. Embassy or Consulate at which you plan to apply for your visa. Please contact the U.S. Embassy or Consulate where you are applying for specific instructions on how to do this. See the print photo format found in the Nonimmigrant Photograph Requirements for more information. If the confirmation page includes a photo image, then the photo upload function was successful and no separate print photograph is required.