It loads every <img> tag on the page and checks its alt attribute against three states: present and descriptive (good), present but empty (fine, only for purely decorative images), or missing entirely (a real gap for both accessibility and image SEO).
How to fix what it finds
For each image flagged "missing alt attribute," add one that describes the image specifically. If an image is purely decorative — a background texture, a spacer, a repeated icon that has a text label right next to it — set alt="" deliberately rather than leaving the attribute off entirely; that's the correct fix for decorative images, not an error to chase down.