It was iTerm, and yeah I it did require a modifier key.

I had gotten it in my head that the way that you highlight a line in iTerm (and I have no idea where I heard this or why I thought it) was holding command and clicking on the line. It was a mistake I made exactly once.

I am afraid I didn't investigate sounding after I saw the horrifying image; I only learned the name for it after I described the image to someone and they told me what it was; I guess I assumed it was just a weird sex thing, I didn't realize that there was any practical medicine stuff to it.