Paper Citation Record · LEDGER

Medical Context Distorts Decisions in Clinical Vision Language Models

As of 21 August 2026, this Paper Citation Record lists 27 of 27 outbound references and 1 inbound Pith citation observation for arXiv:2605.17436.

A citation records a reference. It does not transfer a finding from one paper to another.

pith.paper-citation-record.v1
2605.17436 v1

Coverage vector

measured 27 of 27 reference resolution

Typed states for the displayed outbound observations.

Source: paper_references, paper_reference_links, observed 2026-05-20T14:59:11.496757Z

measured 28 of 28 standing notices

One-hop event checks from named stored sources.

Source: scholarly_work_events, retraction_status_cache, observed 2026-08-21T06:32:19.484+00:00

measured 1 of 1 inbound itemization

Pith citing papers itemized under the disclosed page cap.

Source: paper_references, paper_reference_links, observed 2026-08-01T09:54:32.892436Z

measured 0 of 1 external citation measurements

A source-named dated measurement, never combined with another source.

Source: cited_works

Reference resolution

27 of 27 outbound references displayed

verified exact11
verified fuzzy13
unresolved2
parse uncertain0
malformed identifier0
metadata mismatch1

External citation measurements

No source-named external measurement is stored.

Outbound references

Observation 7bc57e2e-0901-4aa2-a08e-049e3c917e71 · outbound

This paper cites MAIRA-2: Grounded Radiology Report Generation.

Medical Context Distorts Decisions in Clinical Vision Language Models MAIRA-2: Grounded Radiology Report Generation

Reference 1

Resolution: verified exact; arxiv_id, observed 2026-05-20T15:03:24.766872Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation f0cc86b5-5540-4c3d-b975-a7a0f05a446c · outbound

This paper cites S., Kang, H., Chu, Y.

Medical Context Distorts Decisions in Clinical Vision Language Models S., Kang, H., Chu, Y

Reference 2

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.469455Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 12b615e8-9354-4f9d-a453-608efa123664 · outbound

This paper cites an unresolved cited work.

Medical Context Distorts Decisions in Clinical Vision Language Models Unresolved cited work

Reference 3

Resolution: unresolved; raw_fallback, observed 2026-05-20T15:03:25.459983Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation a3469dfc-17b7-4ecd-ba87-8fc529f63920 · outbound

This paper cites HealthBench: Evaluating Large Language Models Towards Improved Human Health.

Medical Context Distorts Decisions in Clinical Vision Language Models HealthBench: Evaluating Large Language Models Towards Improved Human Health

Reference 4

Resolution: verified exact; local_arxiv, observed 2026-05-20T15:03:24.771686Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation c510456a-866c-444f-bb97-7feeb4eaf76b · outbound

This paper cites Medicine Community Heal.13, e003033 (2025).

Medical Context Distorts Decisions in Clinical Vision Language Models Medicine Community Heal.13, e003033 (2025)

Reference 5

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.462020Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 7cff2d93-a840-48f7-bdd3-04df6ddf24fa · outbound

This paper cites Y ., Zhang, W.

Medical Context Distorts Decisions in Clinical Vision Language Models Y ., Zhang, W

Reference 6

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.464249Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 251beba0-629c-4e9b-9f7d-5a2103929d7a · outbound

This paper cites Vision-and-Language or Vision-for-Language? On Cross-Modal Influence in Multimodal Transformers.

Medical Context Distorts Decisions in Clinical Vision Language Models Vision-and-Language or Vision-for-Language? On Cross-Modal Influence in Multimodal Transformers

Reference 7

Resolution: verified exact; arxiv_id, observed 2026-05-20T15:03:24.781943Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation a4944217-500e-4e76-b068-7a5383b728fd · outbound

This paper cites Y ., Zhang, W.

Medical Context Distorts Decisions in Clinical Vision Language Models Y ., Zhang, W

Reference 8

Resolution: verified exact; doi, observed 2026-05-20T15:03:24.708396Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 953948e8-8e08-4c10-ae75-3f100995a93d · outbound

This paper cites & Ferrante, E.

Medical Context Distorts Decisions in Clinical Vision Language Models & Ferrante, E

Reference 9

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.452115Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation d8966007-5ce8-4709-9915-7732969bb230 · outbound

This paper cites Aofei Chang, Le Huang, Parminder Bhatia, Taha Kass-Hout, Fenglong Ma, and Cao Xiao.

Medical Context Distorts Decisions in Clinical Vision Language Models Aofei Chang, Le Huang, Parminder Bhatia, Taha Kass-Hout, Fenglong Ma, and Cao Xiao

Reference 10

Resolution: verified exact; arxiv_id, observed 2026-05-20T15:03:24.798816Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 2b876cc9-bf17-4787-b379-2dee4ee72d0b · outbound

This paper cites M., Mascheroni, P., Brooks, S., Doering, S.

Medical Context Distorts Decisions in Clinical Vision Language Models M., Mascheroni, P., Brooks, S., Doering, S

Reference 11

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.444137Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation c2adb1c9-0607-4430-8ea2-e593db115923 · outbound

This paper cites Medicine(2025).

Medical Context Distorts Decisions in Clinical Vision Language Models Medicine(2025)

Reference 12

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.446074Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 09bf2f35-ae3d-4036-93b1-b48e5de835e2 · outbound

This paper cites medicine30, 2613–2622 (2024).

Medical Context Distorts Decisions in Clinical Vision Language Models medicine30, 2613–2622 (2024)

Reference 13

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.450121Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 83fbe9da-285b-4947-8221-5771043a3d43 · outbound

This paper cites The Butterfly Effect of Altering Prompts: How Small Changes and Jailbreaks Affect Large Language Model Performance.

Medical Context Distorts Decisions in Clinical Vision Language Models The Butterfly Effect of Altering Prompts: How Small Changes and Jailbreaks Affect Large Language Model Performance

Reference 14

Resolution: verified exact; arxiv_id, observed 2026-05-20T15:03:24.788659Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 328b3a63-6077-4f82-a98e-448569b95cf8 · outbound

This paper cites & Bifulco, R.

Medical Context Distorts Decisions in Clinical Vision Language Models & Bifulco, R

Reference 15

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.454053Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 236c6bac-86e5-4246-a8ac-e602fb6a102c · outbound

This paper cites & Schwing, A.

Medical Context Distorts Decisions in Clinical Vision Language Models & Schwing, A

Reference 16

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.466013Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 40a603f2-cba5-4e66-99ca-bec32fc94390 · outbound

This paper cites & Frank, A.

Medical Context Distorts Decisions in Clinical Vision Language Models & Frank, A

Reference 17

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.467844Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 88efbdee-8564-4b3e-ba26-903f1452f388 · outbound

This paper cites Do Vision & Language Decoders use Images and Text equally? How Self-consistent are their Explanations?.

Medical Context Distorts Decisions in Clinical Vision Language Models Do Vision & Language Decoders use Images and Text equally? How Self-consistent are their Explanations?

Reference 18

Resolution: verified exact; arxiv_id, observed 2026-05-20T15:03:24.795322Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation bcf017fa-a031-4497-978e-4c8802903ddd · outbound

This paper cites InProceedings of the AAAI conference on artificial intelligence, vol.

Medical Context Distorts Decisions in Clinical Vision Language Models InProceedings of the AAAI conference on artificial intelligence, vol

Reference 19

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.456073Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 22869004-9297-4554-93ad-b8d817c7d5a4 · outbound

This paper cites MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographs.

Medical Context Distorts Decisions in Clinical Vision Language Models MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographs

Reference 20

Resolution: verified exact; local_arxiv, observed 2026-05-20T15:03:24.775107Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 9cf26831-7d63-410f-af0d-0040b5d25f86 · outbound

This paper cites Qwen2.5-VL Technical Report.

Medical Context Distorts Decisions in Clinical Vision Language Models Qwen2.5-VL Technical Report

Reference 21

Resolution: verified exact; local_arxiv, observed 2026-05-20T15:03:24.778864Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 9ffc14cd-cd45-4741-9ee2-da8c7a93da8d · outbound

This paper cites Janus-Pro: Unified Multimodal Understanding and Generation with Data and Model Scaling.

Medical Context Distorts Decisions in Clinical Vision Language Models Janus-Pro: Unified Multimodal Understanding and Generation with Data and Model Scaling

Reference 22

Resolution: metadata mismatch; local_arxiv, observed 2026-05-20T15:03:24.802016Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 52a18fdc-2c24-48a1-8ad8-271ab9387148 · outbound

This paper cites InProceedings of the IEEE/CVF Conference on Computer Vision and Pattern Recognition, 14299–14308 (2021).

Medical Context Distorts Decisions in Clinical Vision Language Models InProceedings of the IEEE/CVF Conference on Computer Vision and Pattern Recognition, 14299–14308 (2021)

Reference 23

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.447943Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 8466ae2e-f70d-4a4d-9f2b-d804e90ac37b · outbound

This paper cites an unresolved cited work.

Medical Context Distorts Decisions in Clinical Vision Language Models Unresolved cited work

Reference 24

Resolution: unresolved; raw_fallback, observed 2026-05-20T15:03:25.458003Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 490702f2-8bdf-4fc2-a555-affedb978560 · outbound

This paper cites Medqa-cs: Benchmarking large language models clinical skills using an ai-sce framework.arXiv preprint arXiv:2410.01553, 2024.

Medical Context Distorts Decisions in Clinical Vision Language Models Medqa-cs: Benchmarking large language models clinical skills using an ai-sce framework.arXiv preprint arXiv:2410.01553, 2024

Reference 25

Resolution: verified exact; arxiv_id, observed 2026-05-20T15:03:24.792089Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 785c21a0-8ddb-4e96-a2a5-12f34f509c85 · outbound

This paper cites Measuring Massive Multitask Language Understanding.

Medical Context Distorts Decisions in Clinical Vision Language Models Measuring Massive Multitask Language Understanding

Reference 26

Resolution: verified exact; local_arxiv, observed 2026-05-20T15:03:24.785379Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Observation 94efca48-d07b-4802-999a-971cd5f3e63e · outbound

This paper cites Medicine 8, 727 (2025).

Medical Context Distorts Decisions in Clinical Vision Language Models Medicine 8, 727 (2025)

Reference 27

Resolution: verified fuzzy; raw_fallback, observed 2026-05-20T15:03:25.471534Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.

Pith citing papers

Observation ad03f16c-09e4-4bd3-8db7-7062f962dc5c · inbound

Position, Not Provenance: Separating Reasoning Mediation from Sycophancy in Medical Vision-Language Models cites this paper.

Position, Not Provenance: Separating Reasoning Mediation from Sycophancy in Medical Vision-Language Models Medical Context Distorts Decisions in Clinical Vision Language Models

Reference 17

Resolution: unresolved; no resolver link, observed 2026-08-01T09:54:32.892436Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.