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. I was looking to find a way that would search across all pt. charts - so that if I wanted to find all files with the word "mammogram" in them, I could pull them up.

You can do this using the search function. Just don't be expecting a completed database. It will tell you of all the PDFs containing the word mammogram. Hit CTRL+SHIFT+F in Acrobat to give it a try assuming you have OCRd docs.