I believe you have it. I changed my request to

if (-e "/Users/user/Documents/httpd/public/local/music/data/$ArtistNam
+e/$cdTitle/$Cover") {
print qq{<p><img src="/music/data/$ArtistName/$cdTitle/$Cover" alt="$A
+rtistName-$cdTitle" style="height:240px;width:240px;padding-right:100
+px;float:right"><br clear="right"/></p>};
}
[download]

So I need a full system path in my test, but I can use the Apache path to do the print statement (which does show me the image).

Many thanks for the solution and hopefully others will benefit as well.