CVE-2026-5445: Orthanc DICOM Server · Out-of-bounds Read
Affects Orthanc DICOM ServerSource CVE Database V5
Not known to be exploited · CVSS 9.1 Critical.
Data as of 30 Oct 2026, 06:59 UTC
- 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: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 29 Oct 2026.
What to do
Affected software
| Product | Affected | Fixed in |
|---|---|---|
| OrthancDICOM Server | Affected
| 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.