I work with an app called ICMS (Integrated Case Management System), and documents are submitted to this app in .docx format. Many times they need to include images and we require "Alt Text" to be added to each image. Once the document is added to ICMS I can see the Alt Text is still there, but when the document is signed by an admin user the document goes through a conversion from .docx to pdf. From my understanding ICMS is using Ghostscript for that conversion and when that conversion happens, it strips/deletes the Alt Text. Has anyone had this issue before? Are there any kind of DocStructureTags within Ghostscript that are possibly set to False? If so, where can we find them? Any insight would be appreciated. Thank you.