This will open a popup window where you can add the alternate text. Look for the image(s) that have a warning of “Figure – No alternate text exists” on them, then right-click on each image and choose Edit Alternate Text.To add the alt text, choose Advanced, Accessibility, Touch Up Reading Order.Once the tags have been added you should see a panel on the left side with any warnings for missing alt text. Open your document with Acrobat and choose Advanced, Accessibility, Add Tags to Document to add the necessary tags to the document.Choose a save location on your computer and select Save.Select the PDF button at the bottom of the Print window and choose Save as PDF.To export your Word 2008 for the Mac document as a PDF document: Alternative Text in Adobe Acrobat Video Tutorial.You can then use Adobe Acrobat to add the alternative text to the images in your PDF document. However, you can take advantage of the fact that the Mac has the ability to print to a PDF document as a built-in feature of the operating system. There is currently no way to add alternative text to images in a document created with Microsoft Office 2008 for the Mac.