Continúe con algo como esto en el button1_Click:
// Your code first, here.
var da = new SqlDataAdapter(cmd);
var ds = new DataSet();
da.Fill(ds, "Images");
int count = ds.Tables["Images"].Rows.Count;
if (count > 0)
{
var data = (Byte[])ds.Tables["Images"].Rows[count - 1]["Image"];
var stream = new MemoryStream(data);
pictureBox1.Image = Image.FromStream(stream);
}