The invention relates to a medical X-ray imaging apparatus having a frame part, an X-ray source for producing X-rays, a radiation receiver for detecting radiation transmitted through an object, and a support for supporting the X-ray source and the receiver in positions on opposite sides of the object. The support is connected to the frame part so as to rotate around the axis of rotation provided with actuator means for rotating the support around the said axis of rotation. The apparatus makes possible both panoramic imaging and CT imaging, as selected by the operator. The X-ray apparatus is configured to adjust the ratio of enlargement so as to be optimal for each method of imaging used respectively.
