diff --git a/org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/test/CDARoundTripTests.java b/org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/test/CDARoundTripTests.java
index 22a5a07f9..83b97230b 100644
--- a/org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/test/CDARoundTripTests.java
+++ b/org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/test/CDARoundTripTests.java
@@ -120,9 +120,9 @@ public class CDARoundTripTests {
 //
 //      assertEquals("Skin Exam", fp.evaluateToString(e, "component.structuredBody.component.section.component.section.where(code.code='8709-8' and code.codeSystem='2.16.840.1.113883.6.1').title.dataString"));
 //      // <div>Erythematous rash, palmar surface, left index finger.
-//      // <img src="MM1"/></div>
+//      // <img src="MM1" alt=\"img\"/></div>
 //      String text = fp.evaluateToString(e, "component.structuredBody.component.section.component.section.where(code.code='8709-8' and code.codeSystem='2.16.840.1.113883.6.1').text");
-//      assertTrue(text.contains("<img src=\"MM1\"/>"));
+//      assertTrue(text.contains("<img src=\"MM1\" alt=\"img\"/>"));
 //    } catch (Exception e) {
 //      System.out.println(e.getMessage());
 //      e.printStackTrace();
diff --git a/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/xhtml/HierarchicalTableGenerator.java b/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/xhtml/HierarchicalTableGenerator.java
index 544a11898..a599395e4 100644
--- a/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/xhtml/HierarchicalTableGenerator.java
+++ b/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/xhtml/HierarchicalTableGenerator.java
@@ -815,7 +815,7 @@ public class HierarchicalTableGenerator extends TranslatingUtilities {
     else
       tc.setAttribute("style", "vertical-align: top; text-align : left; "+(c.cellStyle != null  && c.cellStyle.contains("background-color") ? "" : "background-color: "+color+"; ")+"border: "+ border +"px #F0F0F0 solid; padding:0px 4px 0px 4px"+(c.cellStyle != null ? ";"+c.cellStyle : ""));
     if (!Utilities.noString(icon)) {
-      XhtmlNode img = tc.addTag("img").setAttribute("src", srcFor(imagePath, icon)).setAttribute("class", "hierarchy").setAttribute("style", "background-color: "+color+"; background-color: inherit").setAttribute("alt", ".");
+      XhtmlNode img = tc.addTag("img").setAttribute("alt", "icon").setAttribute("src", srcFor(imagePath, icon)).setAttribute("class", "hierarchy").setAttribute("style", "background-color: "+color+"; background-color: inherit").setAttribute("alt", ".");
       if (hint != null)
         img.setAttribute("title", hint);
       tc.addText(" ");