ReCast: Contract-Preserving Protection for Fixed-Interface Multimodal Reasoning

Reinforcement-learning (RL) post-training equips multimodal large reasoning models (MLRMs) with exploratory chains of thought (CoT), substantially improving visual reasoning. However, we find that this capability introduces a distinct privacy vulnerability: even when a sensitive fact is successfully unlearned from the final answer, the model may still reproduce it in its reasoning trace. This leakage is substantially more pronounced in natively RL-trained MLRMs than in their non -reasoning base models, revealing a privacy risk that existing unlearning methods are not designed to address. We show that RL-induced exploration leaves sensitive content with a distinctive token-level entropy signature that is largely absent from base models. Based on this observation, we propose LEMUR, a fully training-free, inference-time unlearning framework for natively RL-trained multimodal models. LEMUR uses entropy dynamics as a control signal to identify when sensitive reasoning begins and when sanitization should stop. During this interval, it redirects the reasoning trajectory through entropy-modulated visual-anchor latent injection, replacing committed tokens with sanitized, probability-weighted embeddings re-grounded in the input image. Across diverse MLRMs, LEMUR consistently outperforms existing unlearning met hods in suppressing both reasoning-trace and answer leakage, while better preserving non-sensitive utility and output fluency. These results demonstrate that RL-induced entropy dynamics provide a distinctive signal for privacy leakage and that exploiting this signal enables effective training-free unlearning for reasoning-capable multimodal models.

While interpretable prototype networks offer compelling case-based reasoning for clinical diagnostics, their raw continuous outputs lack the semantic structure required for medical documentation. Bridging this gap via standard Retrieval-Augmented Generation (RAG) routinely triggers ``retrieval sycophancy,'' where Large Language Models (LLMs) hallucinate post-hoc rationalizations to align with visual predictions. We introduce ProtoMedAgent, a framework that formalizes multimodal clinical reporting as an iterative, zero-gradient test-time optimization problem over a strict neuro-symbolic bottleneck. Operating on a frozen prototype backbone, we distill latent visual and tabular features into a discrete semantic memory. Online generation is strictly constrained by exact set-theoretic differentials and a reflective Scribe-Critic loop, mathematically precluding unsupported narrative claims. To safely bound data disclosure, we introduce a semantic privacy gate governed by $k$-anonymity and $\ell$-diversity. Evaluated on a 4,160-patient clinical cohort, ProtoMedAgent achieves 91.2% Comparison Set Faithfulness where it fundamentally outperforms standard RAG (46.2%). ProtoMedAgent additionally leverages a binding $\ell$-diversity phase transition to systematically reduce artifact-level membership inference risks by an absolute 9.8%.

LLM-based assistants transmit user queries verbatim to third-party API endpoints that lie outside the user's audit or control. When those queries contain personally identifiable information (PII), the data persists on remote infrastructure subject to breach, subpoena, or policy change. Placeholder redaction (the prevailing mitigation) suppresses PII at the cost of semantic coherence, producing structurally degraded queries and correspondingly degraded responses. We present SurrogateShield, a client-side proxy that substitutes detected PII with locally generated, type-consistent surrogate values prior to transmission and restores originals in the response. No real PII crosses the network boundary. Detection runs through a three-stage cascade (PatternScan, EntityTrace, and ContextGuard) covering 22 PII types and quasi-identifier combinations grounded in Sweeney's k-anonymity framework. Surrogate-to-original mappings are sealed in an AES-256-GCM encrypted per-conversation ShadowMap that never leaves the device. Evaluations on a 1,124-query corpus demonstrate that the cascade reliably detects PII, achieving an overall F1 score of 98.87%. Surrogate substitution substantially outperforms placeholder redaction in semantic utility, yielding a 13.26 pp improvement in BERTScore (roberta-large), from 81.59% to 94.85%. Within this corpus, the local pipeline restricted real PII transmission across all tested query types; in a 100-query adversarial trial, a prompted LLM adversary recovered no original values from surrogate-substituted messages.