Add image to left of text via css

.create
{
background-image: url('somewhere.jpg');
background-repeat: no-repeat;
padding-left: 30px;  /* width of the image plus a little extra padding */
display: block;  /* may not need this, but I've found I do */
}

Play around with padding and possibly margin until you get your desired result. You can also play with the position of the background image (*nod to Tom Wright) with “background-position” or doing a completely definition of “background” (link to w3).