Thanks, I played with similar commands

and the Microsoft Terminal Server Client (mstsc.exe) cannot hold the pace at which Instant Text sends the keyboard events, which explains the non deterministic behaviour and the garbage you sometimes get.

You may experiment to put some short Wait commands inside your entry to force Instant Text to pause after each line for example, and see if you get better results, as shown below. In a future version we may introduce the possibility to set a throttle to slow down the expansions for softwares which cannot hold the pace.

{command}{Ctrl B}MAMMOGRAM{Ctrl B}

{Wait}50{/Wait}{Ctrl B}INDICATION:{Ctrl B} Routine screening evaluation.

{Wait}50{/Wait}{Ctrl B}HISTORY:{Ctrl B} Patient denies breast complaints.

{Wait}50{/Wait}{Ctrl B}FAMILY HISTORY:{Ctrl B} None.

{Wait}50{/Wait}{Ctrl B}COMPARISON:{Ctrl B}

{Wait}50{/Wait}{Ctrl B}TECHNIQUE:{Ctrl B} Bilateral CC and MLO views are obtained. CAD evaluation is performed.

{Wait}50{/Wait}{Ctrl B}BREAST COMPOSITION:{Ctrl B} Scattered fibroglandular densities.

{Wait}50{/Wait}{Ctrl B}FINDINGS:{Ctrl B}