MC-CXR - Misleading Prior Image: leaderboard

Accuracy on MC-CXR (Seoul National University, 2026) when the chest X-ray comes with a cross-patient prior chest X-ray whose labels include a plausible wrong finding; the model must still name the image finding among 12 CheXpert labels. Percent, higher is better.

Metric: Accuracy under misleading context (%; the image plus a cross-patient prior chest X-ray whose labels include the wrong finding; 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 2031. 10 models tracked.

Top models

#ModelScoreOverall rank
1Qwen 3.5 9B30.8#803
2InternVL3-8B22.9#1688
3Gemini 3.5 Flash (Minimal)22.9#101 (Gemini 3.5 Flash)
4Claude Opus 4.716.7#79
5MedGemma 1.5 4B16.2#2562
6Gemma 3 12B (IT)10#1837
7Phi-4 Multimodal Instruct9.2#3882
8Llama 3.2 11B Instruct8.8#4991

No result here: #1 Claude Fable 5.2, #2 Gemini 4 Carbon, #5 Claude Opus 5.5.

Interactive version: theaggregate.ai/benchmark?slug=mc-cxr-misleading-prior-image · How It Works · Data refreshed daily, snapshot 2026-11-13.