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Critical 9.8HealthcarePublished Apr 9, 2026

CVE-2026-5443Heap Buffer Overflow in DICOM Image Decoder (Palette Color Decode)

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 0.88%, higher than 58% of scored CVEs.

A heap buffer overflow vulnerability exists during the decoding of `PALETTE COLOR` DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.

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)
0.88% (percentile 58)
Assigned by
certcc
NVD analysis
Analyzed
Record last updated
Apr 14, 2026
First seen by InfoSec Signals
Oct 9, 2026

Affected products

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

  • product
  • not-applicable
  • third-party-advisory, vdb-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.

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