One can't tell much from a photo unless the angles are really jacked up.
1.5-2" of Spring lift usually doesn't need anything as both U-Joints change angle the same.
1.5-2" of Shackle lift may or may not need adjustment.
Does it vibrate at any speed? If not, walk away.
The result of installing a lift shackle is rotating of the pinion up (Reducing the DS/Pinion angle). Installing a drop may restore that relationship, however the only way to know for sure, is to measure both the TC/DS and DS/Pinion angles, they should be within 1 degree of each other: Equal and opposite, like an extended Z.
The problem with drivelines is that they have 2 sides, and you can't affect a change to one side without seeing a change on the other.
Maximum operating angle on a single joint is around 6 degrees, OEM you won't see them much more than 2.5 degrees.
-Ron