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Deep models for radiological diagnosis are typically trained to predict disease labels directly from images, which limits them to diseases seen during training and makes their decisions hard to interpret in radiologists' terms. Radiology, however, proceeds from visual findings to disease through published guidelines that make this decision rule explicit, interpretable, and reproducible. We introduce diagnosis by composition (DbC), a representation learning framework that encodes this findings-first logic. DbC learns a vocabulary of radiological findings by aligning image features with the text embeddings of the findings, each finding represented as a dense map over the scan. A disease is defined by a set of required findings derived from its guidelines, and its diagnosis map is a fixed, parameter-free composition of the corresponding finding maps. Because the finding-to-disease mapping is derived from guidelines rather than learned, DbC is interpretable and auditable by design, can extend to new diseases by specifying their findings without retraining, and can diagnose unseen diseases by composing their findings. On multi-phase liver CT, DbC detects and localizes unseen diseases, rare diseases from a different institution, and an external cohort significantly better than all comparators, including models that align images with disease names. DbC also improves detection and localization in the fully supervised setting and remains superior across training-set sizes. Although demonstrated on liver CT, DbC applies wherever radiological guidelines define diseases through findings.

Pixel-space generative Transformers typically use one token per image patch, so capturing finer detail requires more tokens and makes global attention increasingly expensive. We observe that finer detail does not necessarily require more global communication: low-frequency structure benefits from global exchange, while high-frequency detail can be modeled locally. Based on this insight, we introduce SpecSlot, a pixel-space rectified-flow Transformer that decouples output detail from the length of the global attention sequence. SpecSlot expands each spatial anchor into multiple slots, each assigned a disjoint band of DCT coefficients; this separates anchor density from spectral subdivision. Only the lowest-frequency slot from each anchor participates in global attention, while all slots interact locally. This allows the model to increase spectral detail without enlarging the global sequence. A spatial head further adds a local correction to the spectral prediction, while the generative state, target, and loss remain in pixel space. On ImageNet-256, SpecSlot achieves a comparable final FID to a FLOPs-matched JiT control while converging faster. On ImageNet-512, it improves FID by 2.84 over the control with 3.9% fewer FLOPs, and comes within only 0.69 FID of JiT-B/16 at 38.2% lower cost. On text-to-image generation, SpecSlot surpasses JiT-B/8 on DPG-Bench by 1.06 at 40.6% lower forward cost.

An observer sees only part of the surrounding world, yet must keep track of what lies beyond the current view. Spatial perception therefore involves more than recognizing individual images: it calls for a persistent spatial state that is updated under self-motion and used to guide action. Do visual foundation models provide representations that support such a state? We study this question through four levels of spatial capability---spatial structure, object persistence, predictive spatial update, and actionability---using frozen-feature probes on ten representations under streaming egocentric observations of static indoor environments. The resulting capability profiles vary across tasks, network layers, and prefix lengths: strong readout of the visible scene does not ensure accurate object persistence or future-feature retrieval. Matched controls separate readout accuracy from reliance on visual history and motion. Native future prediction retains recoverable spatial structure, but a spatial reader trained on real features does not transfer to predicted features unchanged. Finally, goal-dependent candidate selection does not establish reliable continuous action utility: predicted actions respond to goal changes, yet supplying the correct goal does not reliably improve progress. Across the four levels, object persistence and actionability build on camera-pose readout, whereas feature prediction builds on visible-scene readout. Together, these findings motivate evaluating spatial representations not only by what can be decoded from them, but by whether that information is maintained beyond observation, updated predictively, and used for goal-directed action.

Frontier language models are trained to exhibit stable programming assistant personas, yet those personas may drift over long agentic coding sessions in production. After a long real-world coding session, a model that hedges preferences in a fresh chat ("I don't have preferences") may instead express them directly ("Python -- the feedback loop is instant..."). Existing persona-stability studies focus on scripted chat of tens of turns, leaving long production coding sessions involving thousands of tool-using agent steps, repeated compaction, and hours of interaction largely uncharacterized. We introduce ContextEcho, a benchmark and reusable harness with a 25-probe identity suite, a snapshot-then-probe protocol that evaluates conversation state without perturbing the main session, judge-based and judge-free metrics, and a corpus of 57 long agentic-coding sessions collected with consent and redacted for release across Claude Code and Codex CLI. We use one representative session for a 23-model cross-provider study and all 57 sessions for corpus-scale trajectory analysis across frontier and open-weight models. Results show that persona drift occurs across providers and emerges early in real agentic interaction, while in-session compaction neither reliably resets nor amplifies it. A single-shot anchor restores the original assistant persona, though placebo controls suggest a generic register-reset effect. On same-task continuations, drifted prefixes improve tool-call fidelity -- which we attribute to retained task context rather than drift itself. In tool-free chat, however, the same prefixes break output-format contracts and inflate output length. These findings motivate ContextEcho as an open-source framework for auditing persona drift in long coding sessions without retraining.