A scanning system for scanning and identifying an X-ray film in a medical application includes a scanner configured to accept the X-ray film and provide an image digital signal representative of an image stored on the X-ray film, wherein the X-ray film includes an image portion and a text portion, and a computer configured to accept the image digital signal and convert text characters of the text portion into a text digital signal representative of the text characters. Optical character recognition software may be utilized to recognize and convert the text characters of an image signal into the digital signal. The scanning system may create a reflective label such as a bar code label or a text label that may be affixed to an associated X-ray film to aid in identification of such X-ray.