I need help with a PDF file that is an image, the "Read Out Loud' option does not work, please help!

I need help with a PDF file that is an image, the "Read Out Loud' option does not work, please help!

You mean an image such as a scanned document?
If that is the case, the file doesn't contain any text for Reader Out Loud to read. In order to fix that, you would need an application such as Adobe Acrobat that does Optical Character Recognition to convert the images to actual text.
You can also try to export the file as a Word document or something else using ExportPDF which I believe offers OCR and is cheaper than Acrobat.

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