VulnerabilityPublished 5 May 2024Updated 3 Nov 2025

CVE-2024-34509: dcmtk

Affects dcmtkSource CVE Database V5

Not known to be exploited · CVSS 5.3 Medium : upgrade to 3.6.9 when convenient.

Data as of 26 Oct 2026, 14:05 UTC

CVSS 3.1 base score

5.3Medium

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.
Patch: Available – fixed in 3.6.9

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

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

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: None: The attacker is unauthorized prior to attack, and therefore does not require any access to settings or files to carry out an attack.
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: None: There is no loss of confidentiality within the impacted component.
Integrity: None: There is no loss of integrity within the impacted component.
Availability: Low: Performance is reduced or there are interruptions in resource availability. Even if repeated exploitation of the vulnerability is possible, the attacker does not have the ability to completely deny service to legitimate users. The resources in the impacted component are either partially available all of the time, or fully available only some of the time, but overall there is no direct, serious consequence to the impacted component.

Definitions: FIRST CVSS v3.1 specification.

Exploitation evidence

Disclosed: evidence found.
CVE published 5 May 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

Upgrade dcmtk/dcmtk to 3.6.9.

Affected software

Product	Affected	Fixed in
GitHubdcmtk/dcmtk`pkg:github/dcmtk/dcmtk`Other threats	Affected <3.6.9	Fixed in 3.6.9

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

AI-suggested

Upgrade DCMTK to version 3.6.9 or later as soon as the patch is released to address the segmentation fault issue.
Implement network segmentation and firewall rules to restrict access to DIMSE services only to trusted hosts and networks.
Monitor network traffic for malformed or suspicious DIMSE messages that could indicate attempted exploitation.
Employ application-level input validation and anomaly detection where possible to identify and block invalid DICOM messages.
Maintain up-to-date backups and incident response plans to quickly recover from potential denial of service incidents.
Coordinate with medical device vendors and healthcare IT providers to ensure timely updates and security assessments of imaging systems.
Conduct regular security audits and penetration testing focused on medical imaging infrastructure.

Description

dcmdata in DCMTK before 3.6.9 has a segmentation fault via an invalid DIMSE message.

Impact

For European organizations, particularly those in the healthcare sector, this vulnerability poses a risk of service disruption in medical imaging systems that utilize DCMTK. A successful exploitation could cause imaging servers or related applications to crash, potentially delaying diagnostic processes and impacting patient care. While the vulnerability does not expose sensitive patient data or allow unauthorized data modification, the denial of service could affect hospital workflows and emergency response times. Organizations with integrated PACS (Picture Archiving and Communication Systems) and RIS (Radiology Information Systems) that depend on DCMTK are especially vulnerable. The impact is more pronounced in countries with advanced healthcare infrastructure and high adoption of digital imaging technologies. Additionally, disruption in medical imaging services could have regulatory and compliance implications under EU healthcare data protection standards.

References

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Exploitation evidence

What to do

Affected software

Description

AI analysisMachine-generated, updated 3 Nov 2025, 22:15 UTC

Technical details

References

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