CVE-2025-15581: orthanc · Improper Authentication
Affects orthancSource CVE Database V5
Public exploit available · CVSS 4.7 Medium.
Data as of 26 Oct 2026, 17:16 UTC
- 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:PExploitation evidence
Disclosed: evidence found.
CVE published 18 Feb 2026
Detectable: no evidence on record.
No public nuclei template indexed
Weaponised: evidence found.
CVSS exploit maturity: proof of concept public
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), CVSS vector, the Metasploit, Exploit-DB and nuclei-templates index as of 26 Oct 2026.
What to do
Affected software
| Product | Affected | Fixed in |
|---|---|---|
| orthanc-serverorthanc | Affected
| 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.