MC-CXR - Misleading Overlay: leaderboard

Metric: Accuracy under misleading context (%; the image plus a PACS-style arrow pointing off the pathology; 240 radiologist-reviewed MIMIC-CXR cases, one current chest X-ray and a fixed target finding each; zero-shot constrained single-letter answer from 12 CheXpert labels (chance about 8.3%), invalid answers scored wrong; greedy or temperature-0 decoding). Source: arxiv.org. Saturation forecast: Around 2040. 10 models tracked.

Top models

#ModelScore
1Qwen 3.5 9B23.6
2MedGemma 1.5 4B19.6
3Gemini 3.5 Flash (Minimal)11.6
4Llama 3.2 11B Instruct11.1
5Claude Opus 4.710.6
6InternVL3-8B10.6
7Phi-4 Multimodal Instruct7.5
8Gemma 3 12B (IT)6

Interactive version: theaggregate.ai/benchmark?slug=mc-cxr-misleading-overlay · How It Works · Data refreshed daily, snapshot 2026-09-29.