Hi @rlivingston and @stylebreak1
There is no need to use "Found Image" to do this. Once the context menu is invoked (by having Keyboard Maestro do a right-click press at 0,0 from its current location), just having Keyboard Maestro type the name of the item you want on the list (by using Keyboard Maestro's Insert Text by Typing) will select the item and then you can either stop the Macro there or have Keyboard Maestro press "Return" to invoke that item. See this from a previous thread on a very similar question: