多亏了Nilesh Rathod下面是一个解决方案
tvText = findViewById(R.id.tvText);
SpannableStringBuilder spannableStringBuilder= new SpannableStringBuilder();
Spannable span = new SpannableString("Please press the button looking like this and then proceed ..");
Drawable test = getResources().getDrawable(R.drawable.ic_delete);
test.setBounds(0, 0, 32,32);
ImageSpan imageSpan = new ImageSpan(test, ImageSpan.ALIGN_BASELINE);
span.setSpan(imageSpan, span.length()-2, span.length(), Spannable.SPAN_INCLUSIVE_EXCLUSIVE);
spannableStringBuilder.append(span);
spannableStringBuilder.append("Second Span");
tvText.setText(spannableStringBuilder);