Toolbar choose Content Edit > Image Edit > Add Image.

In the Open dialog box, locate the image file you want to add.

Select the image file, and click Open.

Click where you want to place the image, or click-drag to resize the image as you place it.

A copy of the image file appears on the PDF page, with the same resolution as the original file.

Use the bounding box handles to resize the image.

Toolbar choose Content Edit > Tools > Edit Content

Click the image you want to move, or resize.

To move the image, place the mouse cursor over the moving handles above the left top of the image bounding box. When the cursor changes to Move pointer, drag the image to the new location.

To resize the image, drag one of the 8 resize handles.

To keep the image original aspect ratio, press shift key during resizing.

Toolbar choose Content Edit > Tools > Edit Content

Select the image

To rotate the image, click toolbar commands Rotate Counterclockwise or Rotate Clockwise

To flip the image, click toolbar commands Flip Horizontal or Flip Vertical

To replace the image, click toolbar command Replace Image, locate the replacement image in the Open dialog, and click Open.