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VulnerabilityPublished Updated

CVE-2026-5442: Orthanc DICOM Server · Integer Overflow or Wraparound

Affects Orthanc DICOM ServerSource CVE Database V5

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Not known to be exploited · CVSS 9.8 Critical.

Data as of 30 Oct 2026, 06:59 UTC

CVSS 3.1 base score
9.8Critical
How severe the flaw is on the 0–10 CVSS scale.

Contested

Critical score, yet low EPSS after six months
EPSS
0.5% chance of exploitation in 30 days – higher than 48% 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:H/I:H/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 29 Oct 2026.

What to do

Affected software

ProductAffectedFixed in
OrthancDICOM ServerAffected
  • <=1.12.10
Fixed in–

AI-suggested

Until an official fix is available, restrict exposure of the Orthanc DICOM Server to untrusted networks and validate or sanitize DICOM images before processing to mitigate risk.

Description

A heap buffer overflow vulnerability exists in the DICOM image decoder. Dimension fields are encoded using Value Representation (VR) Unsigned Long (UL), instead of the expected VR Unsigned Short (US), which allows extremely large dimensions to be processed. This causes an integer overflow during frame size calculation and results in out-of-bounds memory access during image decoding.

References

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