The invention relates to a system (102) for generating an image comprising information of both an interior and an exterior of a patient (114). The system comprises an X ray device (104) for providing an X ray image of a patient's interior and a camera (124) responsive to a wavelength for providing a camera image of a patient's exterior. Herein, the camera (124) is supported by the X ray device (104) for establishing a determined spatial relationship between the camera (124) and the X ray device (104). The system (102) furthermore comprises a spatial reference for spatially correlating the X ray image and the camera image, which spatial reference is detectable in the X ray image and in the camera image. A data processor (126) is comprised for rendering the camera image and the X ray image into a composite image on the basis of the spatial reference. The system increases a medical professional's ability to efficiently perform an image guided medical intervention.