diff --git a/lib/documents.js b/lib/documents.js
index cc6a2a33..af16a895 100644
--- a/lib/documents.js
+++ b/lib/documents.js
@@ -173,6 +173,7 @@ function Image(options) {
                 return Buffer.from(arrayBuffer);
             });
         },
+        title: options.title,
         altText: options.altText,
         contentType: options.contentType
     };
diff --git a/lib/docx/body-reader.js b/lib/docx/body-reader.js
index b9bdb57e..2f466d36 100644
--- a/lib/docx/body-reader.js
+++ b/lib/docx/body-reader.js
@@ -483,12 +483,11 @@ function BodyReader(options) {
 
     function readBlip(element, blip) {
         var properties = element.first("wp:docPr").attributes;
-        var altText = isBlank(properties.descr) ? properties.title : properties.descr;
         var blipImageFile = findBlipImageFile(blip);
         if (blipImageFile === null) {
             return emptyResultWithMessages([warning("Could not find image file for a:blip element")]);
         } else {
-            return readImage(blipImageFile, altText);
+            return readImage(blipImageFile, properties.descr, properties.title);
         }
     }
 
@@ -532,12 +531,13 @@ function BodyReader(options) {
         };
     }
 
-    function readImage(imageFile, altText) {
+    function readImage(imageFile, altText, title) {
         var contentType = contentTypes.findContentType(imageFile.path);
 
         var image = documents.Image({
             readImage: imageFile.read,
-            altText: altText,
+            altText: isBlank(altText) ? title : altText,
+            title: title,
             contentType: contentType
         });
         var warnings = supportedImageTypes[contentType] ?
diff --git a/test/docx/body-reader.tests.js b/test/docx/body-reader.tests.js
index c9fe7d3f..a55724d1 100644
--- a/test/docx/body-reader.tests.js
+++ b/test/docx/body-reader.tests.js
@@ -1052,13 +1052,15 @@ test("when v:imagedata element has no relationship ID then it is ignored with wa
 test("can read inline pictures", function() {
     var drawing = createInlineImage({
         blip: createEmbeddedBlip(IMAGE_RELATIONSHIP_ID),
-        description: "It's a hat"
+        description: "It's a hat",
+        title: "Sombrero"
     });
 
     var result = readEmbeddedImage(drawing);
 
     return promiseThat(result, isSuccess(contains(isImage({
         altText: "It's a hat",
+        title: "Sombrero",
         contentType: "image/png",
         buffer: IMAGE_BUFFER
     }))));
@@ -1073,6 +1075,7 @@ test("alt text title is used if alt text description is missing", function() {
     var result = readEmbeddedImage(drawing);
 
     return promiseThat(result, isSuccess(contains(isImage({
+        title: "It's a hat",
         altText: "It's a hat"
     }))));
 });
@@ -1087,7 +1090,8 @@ test("alt text title is used if alt text description is blank", function() {
     var result = readEmbeddedImage(drawing);
 
     return promiseThat(result, isSuccess(contains(isImage({
-        altText: "It's a hat"
+        altText: "It's a hat",
+        title: "It's a hat"
     }))));
 });
 
@@ -1101,7 +1105,8 @@ test("alt text description is preferred to alt text title", function() {
     var result = readEmbeddedImage(drawing);
 
     return promiseThat(result, isSuccess(contains(isImage({
-        altText: "It's a hat"
+        altText: "It's a hat",
+        title: "hat"
     }))));
 });