Whether the x-rays bounce off or go through is not the point. You still have diagonal refractions or reflections.
The cartridges that hold the x-ray film (or digital receiver) have a grid on them that filters most of the diagonal x-rays out, which sharpens up the picture.
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Everyone has already talked about how x ray images aren’t reflected
I do ultrasonic inspection of welds, which uses reflected sounds to find flaws. You can absolutely miss things if the sound hits the flaw and reflects away from the probe.
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