“I’m disgusting,” Miley says of the disgusting way she contracted an infection that sent her to the intensive care unit.

Many fans assume she does, given her A-list status and family legacy, but she’s yet to receive the official honor.

The absence is surprising, especially considering she’s been in the spotlight since childhood and boasts a Grammy win, hit albums, and cultural icon status.

She was shooting visuals for her upcoming album Something Beautiful, due out May 30.