Hi Markus,
DXSUM_PDXCONV_ADNIALL.csv is the file that contains diagnosis information (including changes in diagnosis). The CONVERSIONS.csv file should not be used to identify individuals who changed diagnosis (my understanding is that at the start of ADNI-1, there was going to be a committee that reviewed possible changes in diagnosis, but then a decision was made to just use the judgements of the clinician seeing the participant - contained in the DXSUM_PDXCONV_ADNIALL.csv file).
The images themselves are stored under the diagnosis at the screening visit, so the images do not contain the current diagnosis of the participant. There is an FAQ about how to identify participants who have changed diagnosis (http://adni.loni.usc.edu/data-samples/data-faq/)
Danielle