Or just replace the image with a repaired one.
I have a 160,000 page PDF and on every other page, there is an image background. Part of the background is a solid color that needs to be replaced with a different solid color. The problem is that the text above it is variable so I either need to put the box between that image and the text above or find that text and recreate it above the new box.
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Thanks, I was afraid of that. I did come up with a workaround, but it required other software.