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CVE-2026-5444: CWE-190 Integer Overflow or Wraparound in Orthanc DICOM Server

0
High
VulnerabilityCVE-2026-5444cvecve-2026-5444cwe-190
Published: Thu Apr 09 2026 (04/09/2026, 14:42:30 UTC)
Source: CVE Database V5
Vendor/Project: Orthanc
Product: DICOM Server

Description

CVE-2026-5444 is a heap buffer overflow vulnerability in the Orthanc DICOM Server's PAM image parsing logic. The vulnerability arises when processing a crafted PAM image embedded in a DICOM file, where image dimensions are multiplied using 32-bit unsigned arithmetic. This can cause an integer overflow during buffer size calculation, leading to allocation of a smaller buffer than needed and subsequent buffer overflow during pixel processing. No CVSS score or official remediation details are currently available.

AI-Powered Analysis

Machine-generated threat intelligence

AILast updated: 04/09/2026, 15:05:55 UTC

Technical Analysis

This vulnerability involves an integer overflow (CWE-190) in the Orthanc DICOM Server when parsing PAM images embedded within DICOM files. The multiplication of image dimensions using 32-bit unsigned arithmetic can overflow, causing the server to allocate insufficient buffer space. This results in a heap buffer overflow during pixel data processing, potentially leading to memory corruption or application instability. The vulnerability is documented under CVE-2026-5444 with no known exploits in the wild and no confirmed patch or remediation at this time.

Potential Impact

Successful exploitation could cause a heap buffer overflow in the Orthanc DICOM Server, potentially leading to memory corruption, application crashes, or other undefined behavior. No confirmed reports of exploitation in the wild exist. The exact impact depends on the attacker's ability to supply a crafted PAM image within a DICOM file to the vulnerable server.

Mitigation Recommendations

Patch status is not yet confirmed — check the vendor advisory at https://kb.cert.org/vuls/id/536588 for current remediation guidance. Until an official fix is available, avoid processing untrusted or malformed PAM images embedded in DICOM files to reduce risk.

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Technical Details

Data Version
5.2
Assigner Short Name
certcc
Date Reserved
2026-04-02T19:23:20.072Z
Cvss Version
null
State
PUBLISHED
Remediation Level
null
Vendor Advisory Urls
[{"url":"https://kb.cert.org/vuls/id/536588","vendor":"CERT"}]

Threat ID: 69d7bcce1cc7ad14dad7b6ff

Added to database: 4/9/2026, 2:50:54 PM

Last enriched: 4/9/2026, 3:05:55 PM

Last updated: 4/9/2026, 3:55:07 PM

Views: 4

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