Pulled it down and looked through your source. It seems you only issue is you have custom handler that is "colliding" with the standard Page Handler.
In your web.config try changing
<add verb="*" path="ImageTest.aspx" type="Feral.ImageHandlerVB"/>
to
<add verb="*" path="ImageTest.axd" type="Feral.ImageHandlerVB"/>
And in your ImageTest.aspx, you can change your link from
<img src="ImageTest.aspx?ImageID=198274"/>
to
<img src="ImageTest.axd?ImageID=198274"/>
Let me know how this turns out for you.
bill