An object of the present invention is to provide an image interpretation support apparatus and method to avoid oversight by a radiologist without interfering with image interpretation performed by the radiologist. An image interpretation support apparatus (12) includes a line-of-sight detecting unit (32) that detects a line of sight of a person who reads the image, a gaze determining unit (33) that determines, in accordance with a detection result obtained by the line-of-sight detecting unit, whether a candidate lesion portion in an image to be interpreted that is displayed on a display unit (24) has been gazed at by the person who reads the image, a completion detecting unit (35) that detects completion of image interpretation, by the person who reads the image, of the image to be interpreted that is displayed on the display unit, and a display control unit that, in a case where the completion detecting unit detects the completion of the image interpretation and the gaze determining unit determines that the candidate lesion portion has not been gazed at, switches from a first display state in which the image to be interpreted is displayed on the display unit and support information is not displayed to a second display state in which at least the support information is displayed on the display unit.