When you are creating a webpage, you have the option of specifying alternate text for every image you include on your page. This is so that for the people that set their browser so that it won't load any images when it retrieves a web page. This means they don't have to wait for images to download. Also, blind people who are using the web cannot see the images, but their screen reader will pick up and read the alternate text to them so that they know what the picture is of. The alternate text will be read by text-to-speech converters, and, in the latest browsers, the title will appear as a tooltip when you hover over the image.