$re = '/(<h1>(.+?)<\/h1>)<img class=".*?" alt="[^"]+" (src="[^"]+")>/m';
$str = '<h1>Bla-bla-bla</h1><img class="class" alt="image" src="img.jpg">
';
$subst = "\1<img \3 alt=\"\2\">";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php