If a field used to display the image alt text is NOT type of string (e.g. int) then the alt text is not generated
E.g.
                                E.g.
<telerik:GridBinaryImageColumn        DataField="MyImage"        DataAlternateTextField="MyId" DataType="System.Int32"        DataAlternateTextFormatString="{0}"        ImageAlign="Middle"        HeaderText="Image" FooterText="Image"        HeaderStyle-Width="50"        AllowFiltering="false" AllowSorting="false"        Groupable="False"  ResizeMode="Fit" ImageHeight="50px" ImageWidth="50px"        ReadOnly="True" DefaultImageUrl="../img/noimage.png"></telerik:GridBinaryImageColumn>