If the IMAGE Content Item includes an Icon Image Sequence, the report creation process may embed the icon in the Section.Text narrative. The Icon Image Sequence Pixel Data is converted into an image file, e.g., in JPEG or GIF format, and base64 encoded. The file is encoded in an ObservationMedia entry in the CDA instance, and a <renderMultimedia> tag reference to the entry is encoded in the Section.Text adjacent to the <linkHtml> of the image reference.