CVE-2026-5443: Orthanc DICOM Server · Integer Overflow or Wraparound
Affects Orthanc DICOM ServerSource CVE Database V5
Not known to be exploited · CVSS 9.8 Critical.
Data as of 30 Oct 2026, 11:52 UTC
Contested
Critical score, yet low EPSS after six months- EPSS
- 0.5% chance of exploitation in 30 days – higher than 47% 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: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 released, consider restricting access to the Orthanc DICOM Server from untrusted networks and avoid processing untrusted PALETTE COLOR DICOM images. Monitor vendor communications for updates.
Description
A heap buffer overflow vulnerability exists during the decoding of `PALETTE COLOR` DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.