Sounds like you've got annotated images figured out ... to the extent of their ability 😉
To get a single copy of the image, you must specify the corners of the area, and then let the image fill the area ... and unless you just happen to get the size of the rectangle "just right" (in combination with the size/proportions of your entire page), then it's gonna stretch the graphic out of proportion. Takes a lot of trial-and-error to get things just-right ... and then after that you can't ever change the size of the page, etc.
I've had a defect/suggestion entered for quite a while, requesting the developers add a way to annotate an image which preserves the original aspect ratio (unlike style='fit') and only produces 1 copy of the image (unlike style='tile'). Customer feedback to tech support usually helps increase the likelihood that features get added, so if you could let tech support know you're interested in this, and maybe have them add a note to defect/suggestion S0134750 that you're interested, maybe that'll help this new feature request gain some momentum! 🙂