So far, the extension seems to work fine. I haven't had any errors and the site didn't crash. :)
However, it said in the description that it uses an API from Stop Forum Spam. I got an API from them, but can't find where to put it in the parameters of the component, module or plugin. I looked through the Joomla forum (since that is where fly06 refers you to) and didn't find any mention of it.
I am using the latest (v 1.0) release on Joomla 1.5.14.
Thanks for making my site a little bit safer to use.
If the API isn't needed any more, the description needs to be updated. If it's still needed, instructions need to be given as to where to put it. That's the only reason I gave this a "Good" rating instead of "Excellent".

Thanks again,
Flip

At first, I was scared that I wouldn't be able to use this mod because of all the options I found in the setup for it. However, after I read through them all quickly and set the ones I wanted to, the Pictures show up on my site PERFECTLY!!!
I couldn't ask for a better extension to show random pictures on my site.
Many thanks to the developer of this mod for a job well done!