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VulnerabilityPublished Updated

CVE-2026-5441: Orthanc DICOM Server · Out-of-bounds Read

Affects Orthanc DICOM ServerSource CVE Database V5

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Not known to be exploited · CVSS 7.1 High.

Data as of 30 Oct 2026, 11:52 UTC

CVSS 3.1 base score
7.1High
How severe the flaw is on the 0–10 CVSS scale.
EPSS
0.1% chance of exploitation in 30 days – higher than 3% of CVEsExploit Prediction Scoring System: the likelihood attackers will use this flaw soon.
CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/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 released, avoid processing untrusted or malformed Philips Compression format data with the affected Orthanc DICOM Server versions. Monitor the vendor advisory for updates on patches or mitigations.

Description

An out-of-bounds read vulnerability exists in the `DecodePsmctRle1` function of `DicomImageDecoder.cpp`. The `PMSCT_RLE1` decompression routine, which decodes the proprietary Philips Compression format, does not properly validate escape markers placed near the end of the compressed data stream. A crafted sequence at the end of the buffer can cause the decoder to read beyond the allocated memory region and leak heap data into the rendered image output.

References

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