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This lecture provides a comprehensive overview of diagnostic X-ray imaging, covering the history, technology, processes, and global challenges associated with this essential medical modality. It explains the principles of X-ray generation, image recording techniques, and the transition from analog film screens to digital solutions. The importance of X-ray radiology in healthcare, particularly in diagnosing trauma and pulmonary conditions, is highlighted. The lecture also addresses the significant global disparity in access to radiology services, discussing the challenges faced by low and middle income countries in implementing and maintaining X-ray systems. It concludes by exploring potential sustainable solutions to improve radiology services worldwide.