<xsl:variable name="StudyDesc" select="attr[@tag='00081030']" case-sensitive="false"/>
<xsl:variable name="Modality" select="attr[@tag='00080060']"/>
<xsl:if test="contains($Modality, 'CR') and contains($StudyDesc, 'Mama')">
<xsl:value-of select="translate($Modality, 'CR','MG')"/>
</xsl:if>