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>