diff --git a/ElementX/Resources/Localizations/en-US.lproj/Localizable.strings b/ElementX/Resources/Localizations/en-US.lproj/Localizable.strings
index 0931274a0..db7613125 100644
--- a/ElementX/Resources/Localizations/en-US.lproj/Localizable.strings
+++ b/ElementX/Resources/Localizations/en-US.lproj/Localizable.strings
@@ -21,6 +21,7 @@
 "a11y_page_n" = "Page %1$d";
 "a11y_pause" = "Pause";
 "a11y_paused_voice_message" = "Voice message, duration: %1$@, current position: %2$@";
+"a11y_photo_preview" = "Photo preview";
 "a11y_pin_field" = "PIN field";
 "a11y_pinned_location" = "Pinned location";
 "a11y_play" = "Play";
@@ -48,6 +49,7 @@
 "a11y_start_voice_call" = "Start a voice call";
 "a11y_tombstoned_room" = "Tombstoned room";
 "a11y_user_menu" = "User menu";
+"a11y_video_preview" = "Video preview";
 "a11y_view_avatar" = "View avatar";
 "a11y_view_details" = "View details";
 "a11y_voice_message" = "Voice message, duration: %1$@";
diff --git a/ElementX/Resources/Localizations/en.lproj/Localizable.strings b/ElementX/Resources/Localizations/en.lproj/Localizable.strings
index 393eafa60..68780434f 100644
--- a/ElementX/Resources/Localizations/en.lproj/Localizable.strings
+++ b/ElementX/Resources/Localizations/en.lproj/Localizable.strings
@@ -21,6 +21,7 @@
 "a11y_page_n" = "Page %1$d";
 "a11y_pause" = "Pause";
 "a11y_paused_voice_message" = "Voice message, duration: %1$@, current position: %2$@";
+"a11y_photo_preview" = "Photo preview";
 "a11y_pin_field" = "PIN field";
 "a11y_pinned_location" = "Pinned location";
 "a11y_play" = "Play";
@@ -48,6 +49,7 @@
 "a11y_start_voice_call" = "Start a voice call";
 "a11y_tombstoned_room" = "Tombstoned room";
 "a11y_user_menu" = "User menu";
+"a11y_video_preview" = "Video preview";
 "a11y_view_avatar" = "View avatar";
 "a11y_view_details" = "View details";
 "a11y_voice_message" = "Voice message, duration: %1$@";
diff --git a/ElementX/Sources/Generated/Strings.swift b/ElementX/Sources/Generated/Strings.swift
index 5e03a7f02..7d5a3ad7a 100644
--- a/ElementX/Sources/Generated/Strings.swift
+++ b/ElementX/Sources/Generated/Strings.swift
@@ -70,6 +70,8 @@ internal nonisolated enum L10n {
   internal static func a11yPausedVoiceMessage(_ p1: Any, _ p2: Any) -> String {
     return L10n.tr("Localizable", "a11y_paused_voice_message", String(describing: p1), String(describing: p2))
   }
+  /// Photo preview
+  internal static var a11yPhotoPreview: String { return L10n.tr("Localizable", "a11y_photo_preview") }
   /// PIN field
   internal static var a11yPinField: String { return L10n.tr("Localizable", "a11y_pin_field") }
   /// Pinned location
@@ -144,6 +146,8 @@ internal nonisolated enum L10n {
   internal static var a11yTombstonedRoom: String { return L10n.tr("Localizable", "a11y_tombstoned_room") }
   /// User menu
   internal static var a11yUserMenu: String { return L10n.tr("Localizable", "a11y_user_menu") }
+  /// Video preview
+  internal static var a11yVideoPreview: String { return L10n.tr("Localizable", "a11y_video_preview") }
   /// View avatar
   internal static var a11yViewAvatar: String { return L10n.tr("Localizable", "a11y_view_avatar") }
   /// View details
@@ -3553,6 +3557,10 @@ internal nonisolated enum L10n {
   }
   /// On the map
   internal static var screenStaticLocationSheetTitle: String { return L10n.tr("Localizable", "screen_static_location_sheet_title") }
+  /// Plural format key: "%#@COUNT@"
+  internal static func screenTimelineActiveCallExtraJoinedCount(_ p1: Int) -> String {
+    return L10n.tr("Localizable", "screen_timeline_active_call_extra_joined_count", p1)
+  }
   /// Message not sent because %1$@’s verified digital identity was reset.
   internal static func screenTimelineItemMenuSendFailureChangedIdentity(_ p1: Any) -> String {
     return L10n.tr("Localizable", "screen_timeline_item_menu_send_failure_changed_identity", String(describing: p1))
diff --git a/ElementX/Sources/Screens/MediaUploadPreviewScreen/View/MediaUploadPreviewScreen.swift b/ElementX/Sources/Screens/MediaUploadPreviewScreen/View/MediaUploadPreviewScreen.swift
index 9f74f6208..f4b1fb41d 100644
--- a/ElementX/Sources/Screens/MediaUploadPreviewScreen/View/MediaUploadPreviewScreen.swift
+++ b/ElementX/Sources/Screens/MediaUploadPreviewScreen/View/MediaUploadPreviewScreen.swift
@@ -264,7 +264,16 @@ private struct PreviewView: UIViewControllerRepresentable {
         }
         
         func previewController(_ controller: QLPreviewController, previewItemAt index: Int) -> QLPreviewItem {
-            PreviewItem(previewItemURL: view.mediaURLs[index], previewItemTitle: view.title)
+            let url = view.mediaURLs[index]
+            // Use a descriptive title instead of the file name so VoiceOver doesn't read a cryptic name.
+            return PreviewItem(previewItemURL: url, previewItemTitle: previewItemTitle(for: url))
+        }
+        
+        private func previewItemTitle(for url: URL) -> String? {
+            guard let type = UTType(filenameExtension: url.pathExtension) else { return view.title }
+            if type.conforms(to: .image) { return L10n.a11yPhotoPreview }
+            if type.conforms(to: .movie) || type.conforms(to: .video) { return L10n.a11yVideoPreview }
+            return view.title
         }
         
         // MARK: - QLPreviewControllerDelegate