Here is what is happening.
I have images in Evernote that I need to view and markup with Skitch. Images have been added to Evernote with the Mac desktop version, and I am viewing and marking them up with Evernote/Skitch iPad version. However, some images have the option to "open with Skitch" (see image attached called Option1), which is exactly what I want. But other images, only have the option to save the image to the gallery/camera roll (see image attached called Option2). All images are .jpgs and are roughly all the same size. I can't quite figure out why some images dont have the option to "open with Skitch" and others do not, and how to get the "open with Skitch" to show up every time.
I thought I had it figured out, that is was something to do with the way the images were being added to the note in the desktop version, but that has since proved not the case.