Could the next version of choice include the option of including images. Although you can link to images in the current its not very accessible or configurable by an instructor.
anything is possible - there are 2 main ways to get this to happen:
* Pay a Moodle Partner (or engage the Component lead for the Choice module who happens to work for a Moodle Partner) to add functionality to the Choice mod.
* Get someone else to develop a patch that adds the functionality and get them to submit it to the Moodle Tracker for the component lead to review - make sure you engage an experienced Moodle Developer that is able to follow Moodle coding guidelines etc.