Understanding how visual content conveys sentiment is increasingly important in a digital landscape dominated by imagery. However, sentiment perception depends on complex scene-level semantics, making this a challenging task for computational models. This paper examines how Multimodal Large Language Models (MLLMs) perform sentiment analysis in images through a systematic, evaluation-driven study encompassing three perspectives: (i) direct sentiment classification from images using MLLMs; (ii) sentiment analysis on MLLM-generated descriptions using pre-trained LLMs; and (iii) fine-tuning these LLMs on sentiment-labeled descriptions to assess performance and generalization. Experiments on a recent benchmark show that a two-stage MLLM description-mediated pipeline can substantially improve prediction accuracy under several evaluation settings, particularly when the LLM component is fine-tuned. Across different agreement thresholds and sentiment granularities, the strongest configurations of this pipeline outperform lexicon-, CNN-, and Transformer-based baselines in our benchmark by up to 30.9%, 64.8%, and 42.4%, respectively. In cross-dataset evaluation, the proposed pipeline - without training or fine-tuning on the target dataset - still surpasses the best in-domain baseline by over 8%. Overall, the study provides a comprehensive assessment of MLLM description-mediated sentiment analysis, clarifying the conditions under which it is effective, the scenarios in which it fails, and its comparison with traditional vision-based approaches, while also providing a reproducible benchmark resource for future research.