CVE-2026-5442Heap Buffer Overflow in DICOM Image Decoder via VR UL Dimensions
Updated under an hour ago ()
Does this affect you?
It affects Orthanc DICOM Server and 1 other product. Add what you run to find out whether that includes you.
EPSS puts the chance of exploitation in the next 30 days at 0.92%, higher than 60% of scored CVEs.
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A heap buffer overflow vulnerability exists in the DICOM image decoder. Dimension fields are encoded using Value Representation (VR) Unsigned Long (UL), instead of the expected VR Unsigned Short (US), which allows extremely large dimensions to be processed. This causes an integer overflow during frame size calculation and results in out-of-bounds memory access during image decoding.
- CVSS
- 9.8 CRITICAL (v3.1, CISA ADP)CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H
- Weakness (CWE)
- CWE-190
- Known exploited
- Not in CISA's KEV catalog
- EPSS (exploitation in the next 30 days)
- 0.92% (percentile 60)
- Assigned by
- certcc
- NVD analysis
- Analyzed
- Record last updated
- Apr 14, 2026
- First seen by InfoSec Signals
- Oct 9, 2026
Affected products
Orthanc DICOM Server orthanc:dicom_server (from the name) | through 1.12.10 | CNA record |
orthanc-server orthanc orthanc-server:orthanc | before 1.12.11 | NVD |
References
- https://www.orthanc-server.com/product
- https://www.machinespirits.de/not-applicable
- https://kb.cert.org/vuls/id/536588third-party-advisory, vdb-entry
The CVE record on cve.org NVD's entry
The CVE record is authoritative. Products marked “from the name” were identified from the CNA's free-text names, not a CPE, and are matched less certainly. This product uses the NVD API but is not endorsed or certified by the NVD.