I was trying something like this in the loop:
<div id="content" class="narrowcolumn">
<?php query_posts('category_name=testimonial&showposts=100'); ?>
<?php if (have_posts()) : while (have_posts()) : the_post(); ?>
<div class="post" id="post-<?php the_ID(); ?>">
<div class="lead-image-wrapper">
<h2><a href="<?php the_permalink(); ?>" rel="bookmark" title="Permanent Link to <?php the_title(); ?>"><?php the_title(); ?></a></h2>
<?php $image = get_post_meta($post->ID, 'lead_image', true); ?>
<img src='<?php echo $image; ?>' />
<div class="entry">
<?php the_content('<p class="serif">Read the rest of this page »</p>'); ?>
<?php wp_link_pages(array('before' => '<p><strong>Pages:</strong> ', 'after' => '</p>', 'next_or_number' => 'number')); ?>
<small id="comments"><?php comments_number('No Comments yet', 'One Comment', '% Comments' );?> to “<?php the_title(); ?>” <br /><a href="<?php the_permalink(); ?>" rel="bookmark" title="Permanent Link to <?php the_title(); ?>">View Event / Comment on Event</a></small>
</div>
</div>
</div class="lead-image-wrapper">
where I would specify a custom field “lead-image”