RipNic,
Welcome to the AutoIt forum.

Is it hard to create something in autoit?
Not particularly - what you want should not be too difficult to do.

What I would suggest is that you set a
HotKey to run a script when you press it - this script would then use the current mouse position and do all the right-click and save for you. So what you need to do now is list exactly what actions you need to take to do what you want - something like this:
Right Click
Wait for a dialog (what is its title?)
Enter a filename (do you want to have an ever-increasing index number, or perhaps a date-time group, to distinguish the images?)
Press a button (what does the button have as text?)
There may well be other steps - but that is for you to sort out.

I would also suggest that you take a look at the excellent tutorials that you will find
here and
here - those 2 plus the Help file (particularly the first few sections -
Using AutoIt, Tutorials and the first couple of
References) will help you get an idea of what AutoIt can do and how to write scripts. We are here to help you, but we prefer to teach you how to do it yourself rather then just write scripts for you.

M23
StringSize - Automatically size controls to fit text -
ExtMsgBox - A user customisable replacement for
MsgBox
Toast - Small GUIs which pop out of the Systray - Marquee - Scrolling tickertape GUIs
Scrollbars - Automatically sized scrollbars with a single command - GUIFrame - Subdivide GUIs into many adjustable frames
GUIExtender - Extend and retract multiple sections within a GUI - NoFocusLines - Remove the dotted focus lines from buttons, sliders, radios and checkboxes
ChooseFileFolder - Single and multiple selections from specified path tree structure - - Notify - Small notifications on the edge of the display
RecFileListToArray
- An alternative to _FileListToArray with user-defined include/exclude masks, maximum recursion level, sorting and displayed path options
GUIListViewEx - Insert, delete, move, drag and sort ListView items