A phase contrast imaging (PCI) diagnostic has been developed for the Wendelstein 7-X (W7-X) stellarator. This diagnostic, funded by the U.S. Department of Energy through the Office of Fusion Energy Sciences, is a collaboration between the Max Planck Institute for Plasmaphysics, MIT, and SUNY Cortland. The primary motivation for the development of the PCI diagnostic is measurement of turbulent fluctuations, such as the ion temperature gradient, electron temperature gradient, and the trapped electron mode instabilities. Understanding how the magnetic geometry and other externally controllable parameters, such as the fueling method and heating scheme, modify the amplitude and spectrum of turbulence is important for finding operational scenarios that can lead to improved performance at fusion-relevant temperatures and densities. The PCI system is also sensitive to coherent fluctuations, as may arise from Alfvén eigenmodes or other MHD activity, for example. The PCI method creates an image of line-integrated variations in the index of refraction. For a plasma, the image created is proportional to the line-integral of electron density fluctuations. This paper provides an overview of some key features of the hardware and the optical system and presents two examples of recent measurements from the W7-X OP1.2a experimental campaign.