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For a year and a half or so images have failed to import with the plugin due to changes in the twitter api.
See a thread in the support forum by myself if you want to see how to fix this.
With or without the image bug, after reviewing pretty much all the other options out there I still find this plugin the simplest, most light weight and best way to import tweets. It gives you a lot of options in its settings page. It also saves the tweets to the posts table in a standard way that makes it very easy to retrieve them and present as you need within your own templates.