CVE-2025-53912VulnerabilityPublished 20 Jan 2026

CVE-2025-53912: MedDream PACS Premium · External Control of File Name or Path

Affects MedDream PACS PremiumSource CVE Database V5

Not known to be exploited · CVSS 9.6 Critical.

Data as of 25 Oct 2026, 19:02 UTC

CVSS 3.1 base score

9.6Critical

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

EPSS: 0.6% chance of exploitation in 30 days – higher than 49% 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:C/C:H/I:H/A:N

Attack Vector: Network
Attack Complexity: Low
Privileges Required: Low
User Interaction: None
Scope: Changed
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: Changed: An exploited vulnerability can affect resources beyond the security scope managed by the security authority of the vulnerable component. In this case, the vulnerable component and the impacted component are different and managed by different security authorities.
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 20 Jan 2026
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 2026-10-25.

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 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
MedDreamMedDream PACS Premium	Affected =7.3.6.870	Fixed in–

AI-suggested

1. Apply official patches or updates from MedDream as soon as they become available to address the vulnerability directly. 2. Until patches are released, restrict network access to the PACS system, especially the encapsulatedDoc functionality, using network segmentation and firewall rules. 3. Implement strict input validation and sanitization on all user-supplied parameters controlling file paths to prevent path traversal or arbitrary file access. 4. Deploy Web Application Firewalls (WAFs) with custom rules to detect and block suspicious HTTP requests targeting file path parameters. 5. Conduct regular security audits and penetration testing focused on file handling functionalities within PACS systems. 6. Monitor system logs for unusual file access patterns or repeated failed attempts to access unauthorized files. 7. Educate system administrators and users about the risks and signs of exploitation attempts. 8. Consider deploying endpoint detection and response (EDR) solutions to detect lateral movement or data exfiltration attempts post-compromise.

Description

An arbitrary file read vulnerability exists in the encapsulatedDoc functionality of MedDream PACS Premium 7.3.6.870. A specially crafted HTTP request can lead to an arbitrary file read. An attacker can send http request to trigger this vulnerability.

Impact

For European organizations, especially healthcare providers, this vulnerability poses a significant risk of unauthorized access to sensitive patient data, violating GDPR and other data protection laws. Exposure of medical images, patient records, and system credentials could lead to privacy breaches, reputational damage, and regulatory penalties. The integrity of medical data could be compromised if attackers manipulate or exfiltrate files. Given the critical nature of healthcare services, such breaches could disrupt clinical workflows and patient care indirectly. The vulnerability's network accessibility and low complexity increase the likelihood of exploitation, potentially by insider threats or external attackers with limited privileges. This could also facilitate lateral movement within healthcare networks, escalating the overall risk posture. European healthcare institutions are prime targets due to their reliance on PACS systems and the high value of medical data on the black market.

CWE-73External Control of File Name or Path (opens in a new tab)
Base weaknessLikelihood of exploit: HighOWASP Top 10 A06:2025: Insecure Design (opens in a new tab)
The product allows user input to control or influence paths or file names that are used in filesystem operations.
Architecture and Design
When the set of filenames is limited or known, create a mapping from a set of fixed input values (such as numeric IDs) to the actual filenames, and reject all other inputs. For example, ID 1 could map to "inbox.txt" and ID 2 could map to "profile.txt".
Architecture and Design · Operation
Run your code in a "jail" or similar sandbox environment that enforces strict boundaries between the process and the operating system. This may effectively restrict all access to files within a particular directory.
Architecture and Design
For any security checks that are performed on the client side, ensure that these checks are duplicated on the server side, in order to avoid CWE-602. Attackers can bypass the client-side checks by modifying values after the checks have been performed, or by changing the client to remove the client-side checks…
OWASP Cheat Sheets
XML Security (opens in a new tab)
Mass Assignment (opens in a new tab)
Secure Design Principles (opens in a new tab)
OWASP ASVS 4.0.3
V12.3.2 (opens in a new tab)
V13.3.1 (opens in a new tab)
V5.1.4 (opens in a new tab)
Attack patterns
Subverting Environment Variable Values (opens in a new tab)
Leverage Alternate Encoding (opens in a new tab)
Using Slashes and URL Encoding Combined to Bypass Validation Logic (opens in a new tab)
URL Encoding (opens in a new tab)
Manipulating Web Input to File System Calls (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 20 Jan 2026, 15:20 UTC

WeaknessesCWE-73

Technical details

References

Community reviews

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