Create the sound image like so:
var sound = document.createElement('img');
sound.src = "sound.png";
Append this new image to the body (of wherever you want):
document.body.appendChild(sound);
Do something if the image is clicked:
sound.onclick = function(){
alert('it was clicked!');
}
See a working fiddle here: http://jsfiddle.net/y8th4/