PDFsharp & MigraDoc Foundation

            Dim paragraph1 As Paragraph
            paragraph1 = document.LastSection.AddParagraph
            paragraph1.AddImage("C:\Images\bild\" & images)
            paragraph1.Format.Alignment = ParagraphAlignment.Center

byte[] data;
using (Stream stream = new MemoryStream(evidence.FileData))
{
    if (stream == null)
        throw new ArgumentException("Unable to load evidence file from database");
    int count = (int)stream.Length;
    data = new byte[count];
    stream.Read(data, 0, count);
}
// Insert image
string b64image = "base64:" + Convert.ToBase64String(data);
Image image = para.AddImage(b64image);
image.LockAspectRatio = true;
if (image.Width > new Unit(17,UnitType.Centimeter))
{
    image.Width = "17cm";
}
image.RelativeVertical = RelativeVertical.Line;
image.RelativeHorizontal = RelativeHorizontal.Margin;
image.Top = ShapePosition.Top;
image.Left = ShapePosition.Center;
image.WrapFormat.Style = WrapStyle.None;

int width;
int height;
using (XImage image2 = XImage.FromFile(imageFile))
{
    width = image2.PixelWidth;
    height = image2.PixelHeight;
}