There are approximate image sizes, it's possible to request a custom size, but.. no way to get the exact size.
I'd like to call something like images.getEXIF or images.get or images.getURLs. Give an image id/key, tell it "medium", and get back the exact dimensions (perhaps 600x200 or 600x450 or 200x450, all of which are valid as a medium). It's easier than downloading the image, which I don't need to do.