CVE-2026-5437: Orthanc DICOM Server · Out-of-bounds Read
Affects Orthanc DICOM ServerSource CVE Database V5
Not known to be exploited · CVSS 7.5 High.
Data as of 30 Oct 2026, 11:34 UTC
- 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:HExploitation evidence
Disclosed: evidence found.
CVE published 9 Apr 2026
Detectable: no evidence on record.
No public nuclei template indexed
Weaponized: 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 30 Oct 2026.
What to do
Affected software
| Product | Affected | Fixed in |
|---|---|---|
| OrthancDICOM Server | Affected
| 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.