diff --git a/src/reactA11yImgHasAltRule.ts b/src/reactA11yImgHasAltRule.ts
index 7cd5598bc..3a1b200d9 100644
--- a/src/reactA11yImgHasAltRule.ts
+++ b/src/reactA11yImgHasAltRule.ts
@@ -12,6 +12,7 @@ import { isJsxSpreadAttribute } from './utils/TypeGuard';
 
 const ROLE_STRING: string = 'role';
 const ALT_STRING: string = 'alt';
+const TITLE_STRING: string = 'title';
 
 export function getFailureStringNoAlt(tagName: string): string {
     return `<${tagName}> elements must have an non-empty alt attribute or \
@@ -29,6 +30,11 @@ export function getFailureStringNonEmptyAltAndPresentationRole(tagName: string):
 Remove role='presentation' or specify 'alt' attribute to be empty when role attributes equals 'presentation'.`;
 }
 
+export function getFailureStringEmptyAltAndNotEmptyTitle(tagName: string): string {
+    return `The value of alt attribute in <${tagName}> tag is empty and the role is presentation, but the value of \
+its title attribute is not empty. Remove the title attribute.`;
+}
+
 /**
  * Enforces that img elements have alt text.
  */
@@ -101,25 +107,33 @@ class ImgHasAltWalker extends Lint.RuleWalker {
         } else {
             const roleAttribute: ts.JsxAttribute = attributes[ROLE_STRING];
             const roleAttributeValue = roleAttribute ? getStringLiteral(roleAttribute) : '';
+            const titleAttribute: ts.JsxAttribute = attributes[TITLE_STRING];
             const isPresentationRole: boolean = !!String(roleAttributeValue).toLowerCase().match(/\bpresentation\b/);
             const isEmptyAlt: boolean = isEmpty(altAttribute) || getStringLiteral(altAttribute) === '';
+            const isEmptyTitle: boolean = isEmpty(titleAttribute) || getStringLiteral(titleAttribute) === '';
             const allowNonEmptyAltWithRolePresentation: boolean = options.length > 1
                 ? options[1].allowNonEmptyAltWithRolePresentation
                 : false;
 
             // <img alt='altValue' role='presentation' />
-            if (!isEmptyAlt && isPresentationRole && !allowNonEmptyAltWithRolePresentation) {
+            if (!isEmptyAlt && isPresentationRole && !allowNonEmptyAltWithRolePresentation && !titleAttribute) {
                 this.addFailureAt(
                     node.getStart(),
                     node.getWidth(),
                     getFailureStringNonEmptyAltAndPresentationRole(tagName)
                 );
-            } else if (isEmptyAlt && !isPresentationRole) { // <img alt='' />
+            } else if (isEmptyAlt && !isPresentationRole && !titleAttribute) { // <img alt='' />
                 this.addFailureAt(
                     node.getStart(),
                     node.getWidth(),
                     getFailureStringEmptyAltAndNotPresentationRole(tagName)
                 );
+            } else if (isEmptyAlt && titleAttribute && !isEmptyTitle) {
+                this.addFailureAt(
+                    node.getStart(),
+                    node.getWidth(),
+                    getFailureStringEmptyAltAndNotEmptyTitle(tagName)
+                );
             }
         }
     }
diff --git a/src/tests/reactA11yImgHasAltRuleTests.ts b/src/tests/reactA11yImgHasAltRuleTests.ts
index 454cbc2ac..23a0e1e75 100644
--- a/src/tests/reactA11yImgHasAltRuleTests.ts
+++ b/src/tests/reactA11yImgHasAltRuleTests.ts
@@ -1,8 +1,9 @@
 import { TestHelper } from './TestHelper';
 import {
+  getFailureStringEmptyAltAndNotEmptyTitle,
+  getFailureStringEmptyAltAndNotPresentationRole,
   getFailureStringNoAlt,
-  getFailureStringNonEmptyAltAndPresentationRole,
-  getFailureStringEmptyAltAndNotPresentationRole
+  getFailureStringNonEmptyAltAndPresentationRole
 } from '../reactA11yImgHasAltRule';
 
 /**
@@ -56,6 +57,18 @@ describe('reactA11yImgHasAlt', () => {
         const ruleOptions: any[] = [[], { allowNonEmptyAltWithRolePresentation: true }];
         TestHelper.assertNoViolationWithOptions(ruleName, ruleOptions, fileName);
       });
+
+      it('when the img element has empty alt value, empty title, and presentation role', () => {
+        const fileName: string = `
+            import React = require('react');
+
+            const a = <img role='presentation' alt title/>;
+            const b = <img role='presentation' alt='' title=''/>;
+            const c = <img role='button presentation' alt={ undefined } title={ undefined }/>;
+            const d = <img role={'presentation button'} alt={''} title={''}/>;
+        `;
+        TestHelper.assertNoViolation(ruleName, fileName);
+      });
     });
 
     describe('should fail', () => {
@@ -158,6 +171,40 @@ const d = <img alt={''} /> `;
           ]
         );
       });
+
+      it('when the img tag has empty attribute alt but not-empty attribute title', () => {
+        const fileName: string = `import React = require('react');
+
+const a = <img alt='' title='Some image' role='presentation' />;
+const b = <img alt title='Some image' role='presentation' />;
+const c = <img alt={''} title='Some image' role='presentation' />;
+`;
+
+        TestHelper.assertViolations(
+          ruleName,
+          fileName,
+          [
+            {
+              name: 'file.tsx',
+              ruleName: ruleName,
+              startPosition: { character: 11, line: 3 },
+              failure: getFailureStringEmptyAltAndNotEmptyTitle('img')
+            },
+            {
+              name: 'file.tsx',
+              ruleName: ruleName,
+              startPosition: { character: 11, line: 4 },
+              failure: getFailureStringEmptyAltAndNotEmptyTitle('img')
+            },
+            {
+              name: 'file.tsx',
+              ruleName: ruleName,
+              startPosition: { character: 11, line: 5 },
+              failure: getFailureStringEmptyAltAndNotEmptyTitle('img')
+            },
+          ]
+        );
+      });
     });
   });
 
@@ -197,6 +244,43 @@ const d = <img alt={''} /> `;
     describe('should fail', () => {
       const fileDirectory: string = 'test-data/a11yImgHasAlt/CustomElementTests/FailingTestInputs/';
 
+      it('when the custom element has empty attribute alt but not-empty attribute title', () => {
+        const fileName: string = `import React = require('react');
+
+let Picture;
+
+const a = <Picture alt='' title='Some image' role='presentation' />;
+const b = <Picture alt title='Some image' role='presentation' />;
+const c = <Picture alt={''} title='Some image' role='presentation' />;
+`;
+
+        TestHelper.assertViolationsWithOptions(
+          ruleName,
+          options,
+          fileName,
+          [
+            {
+              name: 'file.tsx',
+              ruleName: ruleName,
+              startPosition: { character: 11, line: 5 },
+              failure: getFailureStringEmptyAltAndNotEmptyTitle('Picture')
+            },
+            {
+              name: 'file.tsx',
+              ruleName: ruleName,
+              startPosition: { character: 11, line: 6 },
+              failure: getFailureStringEmptyAltAndNotEmptyTitle('Picture')
+            },
+            {
+              name: 'file.tsx',
+              ruleName: ruleName,
+              startPosition: { character: 11, line: 7 },
+              failure: getFailureStringEmptyAltAndNotEmptyTitle('Picture')
+            },
+          ]
+        );
+      });
+
       it('when custom element or img has no alt prop', () => {
         const fileName: string = fileDirectory + 'CustomElementHasNoAltProp.tsx';