The Slop Paradox: AI Rewriting Degrades Clinical Uncertainty and Cross-Modal Alignment
AI-rewritten radiology reports show significant information loss, with EHR summarization eroding 51.4% of clinical entities and 43.7% of hedging language. Despite preserving image-text alignment, standardized and teaching case tasks reduce cross-modal alignment by 14.9-16.5%, six to seven times more than EHR summarization. The study finds no preferential degradation of rare pathologies and identifies rewriting task type as the key driver of degradation, not clinical content.