DICOM Server: Out-of-bounds Read
CVE-2026-5441 is a high-severity out-of-bounds read vulnerability in DICOM Server from Orthanc, with a CVSS 3.1 base score of 7.1 out of 10. It can be exploited with local access to the system by an unauthenticated attacker, but only if a user takes part, for example by opening a link or file. Affected DICOM Server versions: 1.12.10 and earlier. The record does not name a fixed version, so check the vendor advisory. There is no confirmed exploitation so far. EPSS estimates a 0.14% chance of exploitation within 30 days, which is low compared with other CVEs.
High severity with no evidence of exploitation so far.
What to do
- Update Orthanc to 1.12.11 or a later version.
- Because the attack needs a user to take part, warn users about unexpected links and files related to this product until it is patched.
Affected products and versions
| Vendor | Product | Affected versions | Fixed in |
|---|---|---|---|
| Orthanc | DICOM Server | 1.12.10 and earlier | Not stated |
| Orthanc-server | Orthanc | before 1.12.11 | 1.12.11 |
Version data comes from the organisation that assigned the CVE. Confirm against the vendor advisory before deciding you are unaffected.
How the severity score breaks down
- Attack vector
- LocalThe attacker needs local access or must trick a user into running something.
- Attack complexity
- LowNo special conditions are needed; the attack works reliably.
- Privileges required
- NoneNo account or login is needed.
- User interaction
- RequiredA user must take an action such as opening a file or link.
- Scope
- UnchangedImpact stays within the vulnerable component.
- Confidentiality
- HighAll data handled by the component can be read.
- Integrity
- NoneNothing can be modified.
- Availability
- HighThe component can be taken down completely.
Vector: CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:N/A:H. Scored by CISA (ADP).
Official description
An out-of-bounds read vulnerability exists in the `DecodePsmctRle1` function of `DicomImageDecoder.cpp`. The `PMSCT_RLE1` decompression routine, which decodes the proprietary Philips Compression format, does not properly validate escape markers placed near the end of the compressed data stream. A crafted sequence at the end of the buffer can cause the decoder to read beyond the allocated memory region and leak heap data into the rendered image output.
Source: the CVE record as published by its numbering authority, via NVD and CVE.org.
The underlying weakness: Out-of-bounds Read
The product reads data past the end, or before the beginning, of the intended buffer.
How developers prevent this class of flaw
- Use a language that provides appropriate memory abstractions.
Timeline
- CVE record published.
- CISA published its SSVC assessment (exploitation: none, automatable: no, technical impact: partial).
- Record last changed materially (score, affected products, status or references).
References
Third-party and government advisories
- kb.cert.org/vuls/id/536588Third Party Advisory, VDB Entry
Other references
- machinespirits.de/Not Applicable
- orthanc-server.com/Product
Other vulnerabilities in DICOM Server
- 8.1 High severity
- 9.1 Critical severity
- 7.1 High severity
- 9.8 Critical severity
- 9.8 Critical severity
- 7.5 High severity
Recent Out-of-bounds Read vulnerabilities
- 9.9 Critical severity
- 8.5 High severity
- 8.1 High severity
- 7.5 High severity
- 8.1 High severity
- 8.1 High severity
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