Extract images from PDF without resampling, in python?

You can use the module PyMuPDF. This outputs all images as .png files, but worked out of the box and is fast.

import fitz
doc = fitz.open("file.pdf")
for i in range(len(doc)):
    for img in doc.getPageImageList(i):
        xref = img[0]
        pix = fitz.Pixmap(doc, xref)
        if pix.n < 5:       # this is GRAY or RGB
            pix.writePNG("p%s-%s.png" % (i, xref))
        else:               # CMYK: convert to RGB first
            pix1 = fitz.Pixmap(fitz.csRGB, pix)
            pix1.writePNG("p%s-%s.png" % (i, xref))
            pix1 = None
        pix = None

see here for more resources

In Python with PyPDF2 and Pillow libraries it is simple:

import PyPDF2

from PIL import Image

if __name__ == '__main__':
    input1 = PyPDF2.PdfFileReader(open("input.pdf", "rb"))
    page0 = input1.getPage(0)
    xObject = page0['/Resources']['/XObject'].getObject()

    for obj in xObject:
        if xObject[obj]['/Subtype'] == '/Image':
            size = (xObject[obj]['/Width'], xObject[obj]['/Height'])
            data = xObject[obj].getData()
            if xObject[obj]['/ColorSpace'] == '/DeviceRGB':
                mode = "RGB"
            else:
                mode = "P"

            if xObject[obj]['/Filter'] == '/FlateDecode':
                img = Image.frombytes(mode, size, data)
                img.save(obj[1:] + ".png")
            elif xObject[obj]['/Filter'] == '/DCTDecode':
                img = open(obj[1:] + ".jpg", "wb")
                img.write(data)
                img.close()
            elif xObject[obj]['/Filter'] == '/JPXDecode':
                img = open(obj[1:] + ".jp2", "wb")
                img.write(data)
                img.close()

Often in a PDF, the image is simply stored as-is. For example, a PDF with a jpg inserted will have a range of bytes somewhere in the middle that when extracted is a valid jpg file. You can use this to very simply extract byte ranges from the PDF. I wrote about this some time ago, with sample code: Extracting JPGs from PDFs.

In Python with PyPDF2 for CCITTFaxDecode filter:

import PyPDF2
import struct

"""
Links:
PDF format: http://www.adobe.com/content/dam/Adobe/en/devnet/acrobat/pdfs/pdf_reference_1-7.pdf
CCITT Group 4: https://www.itu.int/rec/dologin_pub.asp?lang=e&id=T-REC-T.6-198811-I!!PDF-E&type=items
Extract images from pdf: http://stackoverflow.com/questions/2693820/extract-images-from-pdf-without-resampling-in-python
Extract images coded with CCITTFaxDecode in .net: http://stackoverflow.com/questions/2641770/extracting-image-from-pdf-with-ccittfaxdecode-filter
TIFF format and tags: http://www.awaresystems.be/imaging/tiff/faq.html
"""


def tiff_header_for_CCITT(width, height, img_size, CCITT_group=4):
    tiff_header_struct = '<' + '2s' + 'h' + 'l' + 'h' + 'hhll' * 8 + 'h'
    return struct.pack(tiff_header_struct,
                       b'II',  # Byte order indication: Little indian
                       42,  # Version number (always 42)
                       8,  # Offset to first IFD
                       8,  # Number of tags in IFD
                       256, 4, 1, width,  # ImageWidth, LONG, 1, width
                       257, 4, 1, height,  # ImageLength, LONG, 1, lenght
                       258, 3, 1, 1,  # BitsPerSample, SHORT, 1, 1
                       259, 3, 1, CCITT_group,  # Compression, SHORT, 1, 4 = CCITT Group 4 fax encoding
                       262, 3, 1, 0,  # Threshholding, SHORT, 1, 0 = WhiteIsZero
                       273, 4, 1, struct.calcsize(tiff_header_struct),  # StripOffsets, LONG, 1, len of header
                       278, 4, 1, height,  # RowsPerStrip, LONG, 1, lenght
                       279, 4, 1, img_size,  # StripByteCounts, LONG, 1, size of image
                       0  # last IFD
                       )

pdf_filename = 'scan.pdf'
pdf_file = open(pdf_filename, 'rb')
cond_scan_reader = PyPDF2.PdfFileReader(pdf_file)
for i in range(0, cond_scan_reader.getNumPages()):
    page = cond_scan_reader.getPage(i)
    xObject = page['/Resources']['/XObject'].getObject()
    for obj in xObject:
        if xObject[obj]['/Subtype'] == '/Image':
            """
            The  CCITTFaxDecode filter decodes image data that has been encoded using
            either Group 3 or Group 4 CCITT facsimile (fax) encoding. CCITT encoding is
            designed to achieve efficient compression of monochrome (1 bit per pixel) image
            data at relatively low resolutions, and so is useful only for bitmap image data, not
            for color images, grayscale images, or general data.

            K < 0 --- Pure two-dimensional encoding (Group 4)
            K = 0 --- Pure one-dimensional encoding (Group 3, 1-D)
            K > 0 --- Mixed one- and two-dimensional encoding (Group 3, 2-D)
            """
            if xObject[obj]['/Filter'] == '/CCITTFaxDecode':
                if xObject[obj]['/DecodeParms']['/K'] == -1:
                    CCITT_group = 4
                else:
                    CCITT_group = 3
                width = xObject[obj]['/Width']
                height = xObject[obj]['/Height']
                data = xObject[obj]._data  # sorry, getData() does not work for CCITTFaxDecode
                img_size = len(data)
                tiff_header = tiff_header_for_CCITT(width, height, img_size, CCITT_group)
                img_name = obj[1:] + '.tiff'
                with open(img_name, 'wb') as img_file:
                    img_file.write(tiff_header + data)
                #
                # import io
                # from PIL import Image
                # im = Image.open(io.BytesIO(tiff_header + data))
pdf_file.close()