Diffusion language models, which generate text by denoising a token canvas bidirectionally instead of emitting tokens left to right, have become competitive with autoregressive (AR) generation. Medical foundation models, however, remain almost entirely autoregressive. We adapt a mixture-of-experts diffusion language model, DiffusionGemma-26B, and benchmark it against its same-size AR sibling Gemma-4-26B under an identical LoRA recipe on medical visual question answering datasets, scored by a verbosity-robust LLM judge. Diffusion matches or exceeds AR on all of them, and the finetuned model (3.8B active) is competitive with frontier vision-language models; its decoding is also 3.5-4.4x faster. Beyond this parity, the diffusion model offers a drafting capability AR lacks: any-order infill. Because the canvas is denoised bidirectionally, a radiologist can fix report fragments and have the model fill the text between them, an operation inherent to diffusion but not to autoregression, which is subpar at it. This suits real reports, which are often terse or inconsistent across clinicians and institutions.
Diffusion large language models (dLLMs) are a promising alternative to autoregressive generation. However, reasoning-oriented post-training for dLLMs remains challenging. Supervised fine-tuning (SFT) for dLLMs requires dense but often off-policy masked states, while reinforcement…
Discrete diffusion language models (dLLMs) recover masked tokens in parallel, offering significant speedups over autoregressive (AR) generation. However, such promising frameworks face a fundamental architectural design dilemma: \ding{182} Adopting bidirectional attention achieve…
What does a discrete diffusion model learn: a denoiser, a score ratio, or a bridge plug-in predictor? At the level of jump rates, these are one object in different coordinates, and reading a neural network in the wrong coordinate changes the process being trained and sampled. Sta…
Diffusion large language models (dLLMs) offer a theoretical advantage in parallel generation over standard autoregressive models. However, parallel generation alone does not guarantee practical speedups. Realizing this efficiency requires specialized inference mechanisms, such as…
Reinforcement learning has proven effective for improving reasoning in large language models, but extending it to Masked Diffusion Language Models (MDLMs) remains challenging due to the intractability of the log-likelihood estimation. Existing approaches approximate this log-like…
Discrete denoising diffusion models (DDMs) have recently emerged as a compelling alternative to autoregressive (AR) modeling for discrete data, offering parallel generation and iterative global refinement capabilities. Unlike continuous diffusion, where the state space is fixed,…