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VulnerabilityPublished Updated

CVE-2026-5445: Orthanc DICOM Server · Out-of-bounds Read

Affects Orthanc DICOM ServerSource CVE Database V5

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Not known to be exploited · CVSS 9.1 Critical.

Data as of 30 Oct 2026, 06:59 UTC

CVSS 3.1 base score
9.1Critical
How severe the flaw is on the 0–10 CVSS scale.
EPSS
0.6% chance of exploitation in 30 days – higher than 51% 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: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 29 Oct 2026.

What to do

Affected software

ProductAffectedFixed in
OrthancDICOM ServerAffected
  • <=1.12.10
Fixed in–

AI-suggested

Until a fix is available, avoid processing untrusted PALETTE COLOR DICOM images or implement network-level controls to restrict access to the Orthanc DICOM Server from untrusted sources.

Description

An out-of-bounds read vulnerability exists in the `DecodeLookupTable` function within `DicomImageDecoder.cpp`. The lookup-table decoding logic used for `PALETTE COLOR` images does not validate pixel indices against the lookup table size. Crafted images containing indices larger than the palette size cause the decoder to read beyond allocated lookup table memory and expose heap contents in the output image.

References

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