VulnerabilityPublished 28 Jun 2024Updated 2 Aug 2024

CVE-2024-27628: dcmtk · Buffer Overflow

Affects dcmtkSource CVE Database V5

Not known to be exploited · CVSS 8.1 High.

Data as of 26 Oct 2026, 12:29 UTC

CVSS 3.1 base score

8.1High

How severe the flaw is on the 0–10 CVSS scale.

EPSS: 0.7% chance of exploitation in 30 days – higher than 54% of CVEsExploit Prediction Scoring System: the likelihood attackers will use this flaw soon.

CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N

Attack Vector: Network
Attack Complexity: Low
Privileges Required: Low
User Interaction: None
Scope: Unchanged
Confidentiality: High
Integrity: High
Availability: None

Bold values are the worst case: easiest to exploit or largest impact.

Attack Vector: Network: The vulnerable component is bound to the network stack and the set of possible attackers extends beyond the other options listed, up to and including the entire Internet. Such a vulnerability is often termed 'remotely exploitable' and can be thought of as an attack being exploitable at the protocol level one or more network hops away (e.g., across one or more routers).
Attack Complexity: Low: Specialized access conditions or extenuating circumstances do not exist. An attacker can expect repeatable success against the vulnerable component.
Privileges Required: Low: The attacker is authorized with (i.e., requires) privileges that provide basic user capabilities that could normally affect only settings and files owned by a user. Alternatively, an attacker with Low privileges may have the ability to cause an impact only to non-sensitive resources.
User Interaction: None: The vulnerable system can be exploited without any interaction from any user.
Scope: Unchanged: An exploited vulnerability can only affect resources managed by the same security authority. In this case, the vulnerable component and the impacted component are either the same, or both are managed by the same security authority.
Confidentiality: High: There is total loss of confidentiality, resulting in all resources within the impacted component being divulged to the attacker. Alternatively, access to only some restricted information is obtained, but the disclosed information presents a direct, serious impact.
Integrity: High: There is a total loss of integrity, or a complete loss of protection. For example, the attacker is able to modify any/all files protected by the impacted component. Alternatively, only some files can be modified, but malicious modification would present a direct, serious consequence to the impacted component.
Availability: None: There is no impact to availability within the impacted component.

Definitions: FIRST CVSS v3.1 specification.

Exploitation evidence

Disclosed: evidence found.
CVE published 28 Jun 2024
Detectable: no evidence on record.
No public nuclei template indexed
Weaponised: no evidence on record.
No public exploit code indexed in Metasploit or Exploit-DB
Exploited in the wildExploited: no evidence on record.
Not in CISA KEV and no source reports exploitation
Observed by OffSeq MirageSeen by Mirage: no evidence on record.
No attack traffic recorded by OffSeq Mirage sensors

A missing step is not evidence of safety. Sources: cve.org (opens in a new tab), the Metasploit, Exploit-DB and nuclei-templates index as of 26 Oct 2026.

Disclosed: The CVE record is public on cve.org. Its publication is t = 0.
Detectable: A public nuclei template can find exposed instances, for defenders and attackers alike.
Weaponised: Public exploit code exists in Metasploit or Exploit-DB, or CISA SSVC or the CVSS exploit maturity reports a public proof of concept.
Exploited in the wild: CISA KEV lists it, CISA SSVC rates exploitation active, or a source reports attacks.
Observed by OffSeq Mirage: OffSeq Mirage honeypot sensors recorded attack traffic for this CVE, or found exposed hosts without attack traffic.

Moments are spaced evenly, not to scale; a dashed line marks a gap of six months or more. Deltas count from t = 0. Sources that give only a date (CISA KEV, Exploit-DB, or a time of exactly 00:00Z) read “same day” rather than hours. Metasploit modules carry the flaw’s disclosure date, not their release date, and nuclei templates carry no date, so both appear above but not on the timeline.

What to do

Affected software

Product	Affected	Fixed in
GitHubdcmtk/dcmtk`pkg:github/dcmtk/dcmtk`Other threats	Affected =3.6.8	Fixed in–

Check your own hosts for these packages with threat-finder (opens in a new tab), our free open-source scanner.

AI-suggested

Monitor official DCMTK channels and security advisories for patches addressing CVE-2024-27628 and apply them immediately upon release.
Until patches are available, restrict network access to DCMTK services, especially limiting exposure to untrusted networks and the internet.
Employ network segmentation to isolate medical imaging systems from other critical infrastructure.
Use application-layer firewalls or intrusion prevention systems (IPS) to detect and block anomalous DICOM traffic targeting the EctEnhancedCT method.
Implement runtime memory protection mechanisms such as Address Space Layout Randomization (ASLR), Data Execution Prevention (DEP), and stack canaries on systems running DCMTK.
Conduct regular security audits and vulnerability scans focusing on medical imaging infrastructure.
Educate IT and security teams in healthcare organizations about this vulnerability and the importance of rapid response.
Maintain comprehensive backups of medical imaging data to enable recovery in case of compromise.

Description

Buffer Overflow vulnerability in DCMTK v.3.6.8 allows an attacker to execute arbitrary code via the EctEnhancedCT method component.

Impact

The impact of CVE-2024-27628 is significant for organizations relying on DCMTK for medical imaging workflows. Exploitation can lead to arbitrary code execution, enabling attackers to access or modify sensitive patient data, disrupt medical imaging services, or pivot within healthcare networks. This threatens patient privacy, diagnostic accuracy, and overall healthcare delivery. Given the critical role of DICOM in hospitals, clinics, and diagnostic centers, a successful attack could result in data breaches, regulatory non-compliance (e.g., HIPAA violations), and operational downtime. The vulnerability’s network-based attack vector and low complexity increase the risk of widespread exploitation once public exploits emerge. Organizations worldwide with healthcare infrastructure using DCMTK are at risk, potentially impacting patient safety and trust in medical systems.

CWE-120Buffer Copy without Checking Size of Input ('Classic Buffer Overflow') (opens in a new tab)
Base weaknessLikelihood of exploit: HighCWE Top 25 (2025): #11
The product copies an input buffer to an output buffer without verifying that the size of the input buffer is less than the size of the output buffer.
Requirements · Language Selection
Use a language that does not allow this weakness to occur or provides constructs that make this weakness easier to avoid.
Architecture and Design · Libraries or Frameworks
Use a vetted library or framework that does not allow this weakness to occur or provides constructs that make this weakness easier to avoid.
Operation · Build and Compilation · Environment Hardening
Use automatic buffer overflow detection mechanisms that are offered by certain compilers or compiler extensions. Examples include: the Microsoft Visual Studio /GS flag, Fedora/Red Hat FORTIFY_SOURCE GCC flag, StackGuard, and ProPolice, which provide various mechanisms including canary-based detection and range/index…
OWASP Cheat Sheets
Docker Security (opens in a new tab)
XML Security (opens in a new tab)
OWASP ASVS 4.0.3
V5.4.1 (opens in a new tab)
V14.1.2 (opens in a new tab)
V13.3.1 (opens in a new tab)
Attack patterns
Buffer Overflow via Environment Variables (opens in a new tab)
Overflow Buffers (opens in a new tab)
Client-side Injection-induced Buffer Overflow (opens in a new tab)
Filter Failure through Buffer Overflow (opens in a new tab)
MIME Conversion (opens in a new tab)
From MITRE CWE, MITRE CAPEC and OWASP (Top 10, OpenCRE).

References

Community reviews

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Exploitation evidence

What to do

Affected software

Description

AI analysisMachine-generated, updated 26 Feb 2026, 11:08 UTC

WeaknessesCWE-120

Technical details

References

Community reviews

Related threats