Digitization of medical records often relies on smartphone photographs of printed reports, producing images degraded by blur, shadows, and other noise. Conventional OCR systems, optimized for clean scans, perform poorly under such real-world conditions. This study evaluates compact multimodal language models as privacy-preserving alternatives for transcribing noisy clinical documents. Using obstetric ultrasound reports written in regionally inflected medical English common to Indian healthcare settings, we compare eight systems in terms of transcription accuracy, noise sensitivity, numeric accuracy, and computational efficiency. Compact multimodal models consistently outperform both classical and neural OCR pipelines. Despite higher computational costs, their robustness and linguistic adaptability position them as viable candidates for on-premises healthcare digitization.

We present a comparative analysis of the parseability of structured outputs generated by small language models for open attribute-value extraction from clinical notes. We evaluate three widely used serialization formats: JSON, YAML, and XML, and find that JSON consistently yields the highest parseability. Structural robustness improves with targeted prompting and larger models, but declines for longer documents and certain note types. Our error analysis identifies recurring format-specific failure patterns. These findings offer practical guidance for selecting serialization formats and designing prompts when deploying language models in privacy-sensitive clinical settings.

This study examines the performance of Large Language Models (LLMs) in Aspect-Based Sentiment Analysis (ABSA), with a focus on implicit aspect extraction in a novel domain. Using a synthetic sports feedback dataset, we evaluate open-weight LLMs’ ability to extract aspect-polarity pairs and propose a metric to facilitate the evaluation of aspect extraction with generative models. Our findings highlight both the potential and limitations of LLMs in the ABSA task.