Can't edit image
I have a PDF that's a scanned document. It contains blotches from dirt on the scanner and staple holes that I wish to edit out. When I go to edit PDF, right click on the page, and select edit using MS Paint (Paint is the only option on the menu and is adequate for what I'm trying to do), I get the following error:

When I open preferences -> Content editing, it contains no such option:

So, what do I do, other than manually exporting the PDF to an image, opening it externally, and then turning it back into a pdf again?
Here is the version of Adobe I have on my PC. As this is a company machine, I have to work with what I have and can't just update or upgrade.

Thanks for your help!
