I figured out how to get the image on the left, and text on the right. It looks better if your title isn't to long.
PHP Code:
$output .= '<div align="center">';
if($image != '') $output .= "<p><img src='".$image."' align=\"left\" margin-top: 3px margin-bottom: 3px width='".$width."px' height='".$height."px' style=\"border: solid 3px #DADFCB /><br />";
$output .= "<span style=\"font-size:11px\"> <a href='content.php?".$nodeid."-".$url."'>".$title."</a></span></p></br><br /><hr class='vbt_line' /></div>";