Recent advances in artificial intelligence have significantly improved performance in medical imaging tasks such as segmentation, quantification, and report generation. However, most existing solutions operate as static pipelines with limited adaptability, quality assurance, and workflow-level reasoning. In this work, we present ARGUS, an agentic framework for multimodal medical image analysis that coordinates specialized agents within a unified architecture. An Orchestrator Agent interprets user requests, identifies the imaging modality, and assembles task-specific execution plans by selectively engaging processing, quantification, verification, knowledge retrieval, and reporting agents. This enables context-aware decision-making and dynamic workflow reconfiguration based on intermediate findings and runtime conditions. A key feature of ARGUS is its ability to supervise and contextualize analytical processes. The Verification Agent performs quality control by assessing intermediate artifacts against task-specific criteria, while the Knowledge Retrieval Agent enriches quantitative findings with evidence from the biomedical literature and established physiological reference ranges. Together, these components promote transparency, support automated error detection, and reduce the risk of propagating unreliable information through downstream stages. The framework was evaluated across three imaging domains: radiology (MRI), pathology (hematopathology), and ophthalmology (OCT). Quantitative evaluation demonstrated strong agreement between ARGUS and reference standards across pathology, OCT, and MRI tasks, achieving a cell-counting bias of $-0.182$ cells (MAE = $0.727$), a full retinal thickness bias of −31.30$\mathrm{\mu }\mathrm{m}$ (MAE = 37.63 $\mathrm{\mu }\mathrm{m}$), and MRI volumetric errors below 3 $\mathrm{mL}$, while also achieving closer agreement with reference measurements than the evaluated general-purpose and domain-specific baseline systems. These results demonstrate the feasibility and potential value of agent-based orchestration for enabling adaptive, validated, and interpretable multimodal imaging workflows while providing a scalable foundation for complex multi-step clinical analysis.

Dialectal variation presents a major challenge for deploying medical language models in real-world healthcare settings, where patient–clinician communication often occurs in regional vernaculars rather than standardized language forms. This challenge is particularly pronounced in the Arabic-speaking world, where clinical interactions frequently take place in diverse dialects that differ substantially from Modern Standard Arabic. Fine-tuning and maintaining separate models for each dialect is computationally inefficient and difficult to scale, motivating more integrated approaches. In this work, we present MENARA, an Arabic medical language model constructed by merging Egyptian Arabic, Moroccan Darija, and medical-domain specialists through model merging. We extend prior feasibility findings through comprehensive evaluation of cross-dialect performance, medical safety, and cross-lingual knowledge retention. Specifically, we introduce a fine-grained dialect composition analysis to quantify lexical purity and structured code-switching behavior, benchmark against state-of-the-art Arabic LLMs, conduct subject-matter-expert assessment of both dialectal fidelity and medical appropriateness. The results show that model merging preserves core medical competence while enabling robust dialectal adaptation, achieving strong cross-dialect fidelity while substantially reducing storage and deployment overhead compared to maintaining separate models. These findings establish model merging as a potentially practical and resource-efficient paradigm for dialect-aware medical NLP in linguistically fragmented healthcare environments.