It was my first social work job, in a nursing home, that I met Norma. She was in her late 90's and had severe Dementia - very confused. I took her to the hospital to get a mammogram and placed her History & Physical on the counter in front of her (it was part of a packet of information the nursing home sent to the hospital). Norma became upset, started banging on the counter. I asked her what was wrong.
She pointed to the H&P and the statement the doctor had made: Breasts: Unremarkable. Norma very clearly said, "My breasts are VERY remarkable!."