When a first search query including an image of an item is received to search for items associated with similar images, a second search query that includes text based on the image is generated. The text may be based on previous queries associated with the depicted item, visual features of the image, or text that is present in the image. The results from the first search query are scored based on their correspondence with the image of the item. Results having a score greater than a threshold are presented first in the output, followed by a selected number of results from the second search query. Results from the first search query that are associated with a score less than the threshold may be presented after the results from the second search query. This presentation increases the likelihood that items presented earlier in the output are relevant to the initial query.