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Markdown's syntax does not allow for an image to be floated left or right. This makes the use of any images really ugly unless the graphic designer does some work on the theme ahead of time to make all images go one way or another. Of course, then you can't decide on an image-by-image basis which way they float.
The attached patch allows the user to add "left", "right" or "none" after the title to define how the image should be placed in the page flow.