For the past 6 months or year, there has been a lot of hype to using images next to ads to create a higher click through rate. The AdSense team has finally came out and stated clearly what the policies on this matter are.
It’s basically not allowed. I had to go change one of my sites because it had an implementation of this vaguely, but it’s fixed now. It’s a good thing that the AdSense team has finally released an official response to this. Now AdSense publishers can stop e-mailing support asking about it or asking about it on the forums (as I see every week).