Is there an example of a full subcategory of $\mathsf{Mod}_R$ (namely left $R$-modules) which are not abelian categories, but are "almost" abelian -- that is, they satisfy all of the prerequisites of an abelian category (additive + kernels/cokernels) except that the canonical map $coim(f) \to im(f)$ is not an isomorphism.
There are of course many examples of those that are, e.g. torsion $R$-modules form a Serre subcategory of $\mathsf{Mod}_R$ and coherent $R$-modules form a weak Serre subcategory of $\mathsf{Mod}_R$.