Zen report can create PDF document (https://docs.intersystems.com/latest/csp/docbook/DocBook.UI.Page.cls?KEY=GRPT_xslfo_pdf_config ). Store your images in the table. Pass session id to the Zen report. Zen report will select images using SQL. The <img> element will insert images to the report:

<img width="100%" src="!@ImageName" contentHeight="scale-to-fit" contentWidth="#(..ImageWidth)#" style="position:absolute" content-type="image/jpg"/> 

Do the following (See the attachment image_to_pdf_using_zen_reports.doc for details):

1. Zen report settings to configure PDF report 
2. Create an image table to