diff --git a/src/__tests__/__snapshots__/role-helpers.js.snap b/src/__tests__/__snapshots__/role-helpers.js.snap
index 4a8a1f2f..dd9aab91 100644
--- a/src/__tests__/__snapshots__/role-helpers.js.snap
+++ b/src/__tests__/__snapshots__/role-helpers.js.snap
@@ -1,7 +1,7 @@
 // Jest Snapshot v1, https://goo.gl/fbAQLP
 
 exports[`logRoles calls console.log with output from prettyRoles 1`] = `
-region:
+section:
 
 Name "a region":
 <section
@@ -9,6 +9,32 @@ Name "a region":
   data-testid="named-section"
 />
 
+--------------------------------------------------
+img:
+
+Name "404":
+<img
+  alt="404"
+  data-testid="img-alt"
+  src="http://imgsrc.com"
+/>
+
+Name "":
+<img
+  data-testid="img-no-alt"
+  src="http://imgsrc.com"
+/>
+
+--------------------------------------------------
+presentation:
+
+Name "":
+<img
+  alt=""
+  data-testid="img-empty-alt"
+  src="http://imgsrc.com"
+/>
+
 --------------------------------------------------
 link:
 
@@ -52,32 +78,6 @@ Name "":
   data-testid="a-article"
 />
 
---------------------------------------------------
-command:
-
-Name "":
-<menuitem
-  data-testid="a-menuitem-1"
-/>
-
-Name "":
-<menuitem
-  data-testid="a-menuitem-2"
-/>
-
---------------------------------------------------
-menuitem:
-
-Name "":
-<menuitem
-  data-testid="a-menuitem-1"
-/>
-
-Name "":
-<menuitem
-  data-testid="a-menuitem-2"
-/>
-
 --------------------------------------------------
 list:
 
diff --git a/src/__tests__/role-helpers.js b/src/__tests__/role-helpers.js
index aadc1dc2..d3991008 100644
--- a/src/__tests__/role-helpers.js
+++ b/src/__tests__/role-helpers.js
@@ -18,6 +18,10 @@ function setup() {
   const {getByTestId} = render(`
 <header data-testid="a-header">Banner header</header>
 <section aria-label="a region" data-testid='named-section'>
+  <img src="http://imgsrc.com" alt="404" data-testid="img-alt" />
+  <img src="http://imgsrc.com" alt="" data-testid="img-empty-alt" />
+  <img src="http://imgsrc.com" data-testid="img-no-alt" />
+  
   <a href="http://whatever.com" data-testid="a-link">link</a>
   <a>invalid link</a>
 
@@ -77,6 +81,9 @@ function setup() {
   return {
     unnamedSection: getByTestId('a-section'),
     namedSection: getByTestId('named-section'),
+    imgAlt: getByTestId('img-alt'),
+    imgEmptyAlt: getByTestId('img-empty-alt'),
+    imgNoAlt: getByTestId('img-no-alt'),
     anchor: getByTestId('a-link'),
     h1: getByTestId('a-h1'),
     h2: getByTestId('a-h2'),
@@ -142,6 +149,9 @@ test('getRoles returns expected roles for various dom nodes', () => {
     dd,
     dt,
     header,
+    imgAlt,
+    imgEmptyAlt,
+    imgNoAlt,
   } = setup()
 
   expect(getRoles(namedSection)).toEqual({
@@ -163,6 +173,8 @@ test('getRoles returns expected roles for various dom nodes', () => {
     region: [namedSection],
     term: [dt],
     definition: [dd],
+    img: [imgAlt, imgNoAlt],
+    presentation: [imgEmptyAlt],
   })
   expect(getRoles(header)).toEqual({
     banner: [header],
@@ -177,9 +189,21 @@ test('logRoles calls console.log with output from prettyRoles', () => {
 })
 
 test('getImplicitAriaRoles returns expected roles for various dom nodes', () => {
-  const {namedSection, h1, unnamedForm, radio, input} = setup()
+  const {
+    namedSection,
+    imgAlt,
+    imgEmptyAlt,
+    imgNoAlt,
+    h1,
+    unnamedForm,
+    radio,
+    input,
+  } = setup()
 
   expect(getImplicitAriaRoles(namedSection)).toEqual(['region'])
+  expect(getImplicitAriaRoles(imgAlt)).toEqual(['img'])
+  expect(getImplicitAriaRoles(imgEmptyAlt)).toEqual(['presentation'])
+  expect(getImplicitAriaRoles(imgNoAlt)).toEqual(['img'])
   expect(getImplicitAriaRoles(h1)).toEqual(['heading'])
   expect(getImplicitAriaRoles(unnamedForm)).toEqual([])
   expect(getImplicitAriaRoles(radio)).toEqual(['radio'])
diff --git a/src/role-helpers.js b/src/role-helpers.js
index bc134f27..8368521f 100644
--- a/src/role-helpers.js
+++ b/src/role-helpers.js
@@ -84,7 +84,7 @@ function buildElementRoleList(elementRolesMap) {
         const shouldNotExist = constraints.indexOf('undefined') !== -1
         if (shouldNotExist) {
           return `:not([${attributeName}])`
-        } else if (value) {
+        } else if (value || value === '') {
           return `[${attributeName}="${value}"]`
         } else {
           return `[${attributeName}]`