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VulnerabilityPublished Updated

CVE-2026-5437: Orthanc DICOM Server · Out-of-bounds Read

Affects Orthanc DICOM ServerSource CVE Database V5

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Not known to be exploited · CVSS 7.5 High.

Data as of 30 Oct 2026, 11:34 UTC

CVSS 3.1 base score
7.5High
How severe the flaw is on the 0–10 CVSS scale.
EPSS
0.6% chance of exploitation in 30 days – higher than 50% of CVEsExploit Prediction Scoring System: the likelihood attackers will use this flaw soon.
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:N/A:H

Exploitation evidence

  1. Disclosed: evidence found.

    CVE published 9 Apr 2026

  2. Detectable: no evidence on record.

    No public nuclei template indexed

  3. Weaponized: 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 30 Oct 2026.

What to do

Affected software

ProductAffectedFixed in
OrthancDICOM ServerAffected
  • <=1.12.10
Fixed in–

AI-suggested

Until an official fix is available, cautious handling of untrusted DICOM metadata and limiting exposure of the vulnerable service to untrusted networks may reduce risk. No vendor advisory indicates that the issue is already mitigated or that no action is required.

Description

An out-of-bounds read vulnerability exists in `DicomStreamReader` during DICOM meta-header parsing. When processing malformed metadata structures, the parser may read beyond the bounds of the allocated metadata buffer. Although this issue does not typically crash the server or expose data directly to the attacker, it reflects insufficient input validation in the parsing logic.

References

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