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cmokingHere are the scans of both. I can't tell you why they used the same image. Lou Gehrig and Jimmy Foxx (29 and 154) are the only two with the same fronts on two cards. Some would argue the three Ruths are the same since they are of the same pose. The 144 is the main pose, and the 149 and the 53 are closeups with different color backgrounds. I can't think of any other player with the same fronts.
As for differences, I can't see any. Here are the two cards. The background on one is light than the other, but I think that's just because of these two specific cards, not all 92/160s.