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Hello,

Indexer doesn't extract alt text contents. You can use getDocxPathQueryInfo with a custom Xpath query to get that information:

$referenceNode = array(
    'customQuery' => '//w:drawing//wp:docPr',
);

$contents = $docx->getDocxPathQueryInfo($referenceNode);

foreach ($contents['elements'] as $content) {
    echo $content->getAttribute('descr');
}

Regards.