Disclosed is an image judgment device including a hardware processor that functions as an image acquirer that acquires image data of a medical image that is obtained by radiographing of a part including a region to be diagnosed of a patient, a segmentation unit that extracts an anatomical structure from the medical image to generate an extracted image, an image converter that performs image conversion on the extracted image to generate a converted image; a feature value extractor that calculates a feature value from the extracted image and/or the converted image by using a result of machine learning; and a judgment unit that judges whether the medical image is taken with positioning appropriate for diagnosis based on the feature value by using a result of machine learning concerning feature values.