When a pdf with words is created from an electronic source, such as a Word document, the default option is to save the document as “text”. This makes it possible to be read by a screen reader. No problem! However, a problem can occur if the original source of the document is from a physical paper, book or journal. In this case, depending on the scanner and the options chosen, the pdf can be saved as an image. When saved as an image, a screen reader interprets the page as being “blank”.