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VulnerabilityPublished Updated

CVE-2026-5439: Orthanc DICOM Server · Unthrottled Resource Allocation

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, 11:52 UTC

CVSS 3.1 base score
7.5High
How severe the flaw is on the 0–10 CVSS scale.
EPSS
0.4% chance of exploitation in 30 days – higher than 36% 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 a fix is available, consider restricting or validating ZIP archive uploads to prevent processing of maliciously crafted archives. Avoid trusting unverified metadata fields in uploaded archives where possible.

Description

A memory exhaustion vulnerability exists in ZIP archive processing. Orthanc automatically extracts ZIP archives uploaded to certain endpoints and trusts metadata fields describing the uncompressed size of archived files. An attacker can craft a small ZIP archive containing a forged size value, causing the server to allocate extremely large buffers during extraction.

References

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