Hello,
Sorry your message stayed unanswered for so long. On my end it seems that I don't experience what you described. See this screenshot with a test document:
![Image description](https://forum.cryptpad.org/assets/files/2023-04-19/1681904372-33551-screenshot-2023-04-19-at-133925.png)
The image size and position is respected, Print to PDF produce a correct document.
Can you tell us about the web browser you are using? Some are known to interfere and create issues.