An aerodynamic rail cover for an operating room with laminar airflow is provided. The rail cover comprises a rail cover component configured to be movably attached to a support rail of a ceiling mounted support arrangement of a medical imaging system. The rail cover component comprises a base element and an air guiding surface element connected to the base element. The base element is configured to be attached to a portion of the support rail of the ceiling mounted support arrangement. The air guiding surface element forms an air guide to be mounted at least temporarily to cover a portion of the support rail of the ceiling mounted support arrangement. The air guiding surface element comprises two surface parts that extend from starting edges on opposite sides of the base element to a common trailing edge.