Forum Moderators: Robert Charlton & goodroi
http://images.google.com/imgres?imgurl=http://www.example.com/example.jpg&imgrefurl=http://www.example.com/&prev=/images%3Fq%3Dexample+image
The keyword the visitors used is in bold. Additionally, you can see the image they found, and the page containing the image. It's a bit messy, since the information is 'url encoded' (hence the percentage symbols - an equals symbol becomes %3D, for instance).
I've found that few web analytics packages extract this information, so if you need to aggregate it, you may need a bit of configuration of your software.