In Nature Medicine, Microsoft Research and Paige (now part of Tempus) introduce PRISM2, a pathology foundation model trained on 2.3 million whole-slide images and 14 million question-answer pairs from about 700,000 reports. Clinical dialogue supervision aims to align tissue patterns with diagnostic language, so one model can answer prompts and transfer embeddings across tasks. Without a separate detector for each cancer, PRISM2 matched or beat clinical-grade products on prostate, breast, and breast lymph-node detection. Research weights are public on Hugging Face. Why it matters: pathology AI may move from single-purpose tools toward a language-grounded backbone. Caveat: these are retrospective benchmarks, not a cleared bedside product.