When Prompts Mislead: Textual Dominance and Diagnostic Bias in MLLMs (opens in new tab)

Multimodal large language models (MLLMs) are increasingly being evaluated for medical applications, where computational constraints often make prompting strategies the only practical alternative to fine-tuning. Such strategies are generally assumed to support diagnostic reasoning, yet their potential failure modes in medical MLLMs remain poorly characterized. We analyze FundusExpert-1B, an open-source ophthalmology MLLM, on a hemorrhage versus d...