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VulnerabilityPublished Updated

CVE-2025-15581: orthanc · Improper Authentication

Affects orthancSource CVE Database V5

0

Not known to be exploited · CVSS 4.7 Medium.

Data as of 26 Oct 2026, 09:08 UTC

CVSS 4.0 base score
4.7Medium
How severe the flaw is on the 0–10 CVSS scale.
EPSS
0.5% chance of exploitation in 30 days – higher than 46% of CVEsExploit Prediction Scoring System: the likelihood attackers will use this flaw soon.
CVSS:4.0/AV:N/AC:L/AT:P/PR:L/UI:A/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N/E:P

Exploitation evidence

  1. Disclosed: evidence found.

    CVE published 18 Feb 2026

  2. Detectable: no evidence on record.

    No public nuclei template indexed

  3. Weaponised: no evidence on record.

    No public exploit code indexed in Metasploit or Exploit-DB

  4. Exploited in the wild: no evidence on record.

    Not in CISA KEV and no source reports exploitation

  5. Observed by OffSeq 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.

What to do

Affected software

ProductAffectedFixed in
orthanc-serverorthancAffected
  • <=1.12.9
Fixed in–

AI-suggested

Organizations should immediately audit their Orthanc server deployments to identify versions prior to 1.12.10 and plan for prompt upgrades once patches are released. Until patched, restrict network access to Orthanc servers using firewalls and network segmentation to limit exposure to trusted internal users only. Enforce strong authentication mechanisms and consider additional layers such as VPNs or IP whitelisting to reduce unauthorized access risk. Monitor Orthanc server logs for unusual authentication attempts or privilege escalations. Implement strict role-based access controls and minimize the number of users with administrative privileges. Regularly back up medical imaging data to enable recovery in case of compromise. Engage with the Orthanc community or vendor for updates and apply security advisories promptly. Consider deploying Web Application Firewalls (WAFs) or Intrusion Detection Systems (IDS) to detect and block suspicious activity targeting Orthanc authentication endpoints. Finally, conduct security awareness training for administrators on the risks of privilege escalation vulnerabilities.

Description

Orthanc versions before 1.12.10 are affected by an authorisation logic flaw in the application's HTTP Basic Authentication implementation. Successful exploitation could result in Privilege Escalation, potentially allowing full administrative access.

References

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