in reply to Combining PDFs containing images.

I do not know the specifics of PDF combination using PDF::Reuse, however, you may find this snippet of code which I posted previously for PDF concatenation using PDF::API2 to be of use if you are simply looking for combination by way of concatenation (which at first glance it would appear that you are doing).

 

perl -le "print unpack'N', pack'B32', '00000000000000000000001011001011'"