1) Bring up SQL Server Management Studio.
2) Connect, and open the database you want to add the image to.
3) Expand the tables, and either add a new table with an appropriate index field, or right click teh table and select design.
4) Add a field called "myImage", and make its datatype "image". Allow nulls.
5) Close SQL Server Management studio.
To add images to the table (I will assume a new record, the table has an Identity field, and just the myImage column):
Using con As New SqlConnection(connectionString)
Using com As New SqlCommand("INSERT INTO myTable (myImage) VALUES (@IM)", con)
Dim imageData As Byte() = File.ReadAllBytes("D:\Temp\Picture.jpg")
com.Parameters.AddWithValue("@IM", imageData)
com.ExecuteNonQuery()
End Using
End Using