CVE-2026-44037 is a medium severity vulnerability in OFFIS DCMTK version 3.7.0 involving uncontrolled mutual recursion in the DcmJSONReader component. This flaw allows denial of service via crafted DICOM JSON documents with deeply nested sequences, causing stack exhaustion and process crashes. The issue affects the json2dcm tool and any service converting untrusted DICOM JSON using this reader. A fix has been implemented in commit cf955e64c35a1e07ba10698f639d5dcdec53b9d7.
CVE-2026-44034 is a heap-based out-of-bounds read vulnerability in OFFIS DCMTK version 3.7.0. It occurs in the DcmRLECodecDecoder::decodeFrame() function when processing crafted RLE Lossless DICOM files with pixel data fragments shorter than the expected 64-byte RLE header. This flaw allows reading up to 63 bytes of adjacent heap memory or may cause a crash. The issue affects applications decoding RLE images frame by frame but not the dcmdrle command-line tool. The vulnerability has a medium severity with a CVSS score of 4.8 and is fixed in a later commit.
A global out-of-bounds read in the Huffman decoder of the bundled IJG JPEG libraries (dcmjpeg/libijg8, libijg12 and libijg16) of OFFIS DCMTK 3.7.0 allows an attacker to read memory beyond the extend_test[] and extend_offset[] tables, causing incorrectly decoded pixel data or a crash, via a DICOM file with a crafted JPEG stream whose Huffman table defines a difference category above 15. Huffman symbol values are not range-checked unless DCMTK is built with DCMTK_ENABLE_STRICT_HUFFMAN_TABLE_CHECK, which is disabled by default. dcmdjpeg and any application that decompresses JPEG DICOM images with DCMTK are affected. The issue is fixed in commit d6ae1bc8d5b9ae9c7300013c8c85cc2ea0fd8cf5.
Uncontrolled mutual recursion between DcmXMLParseHelper::parseDataSet() and DcmXMLParseHelper::parseSequence() in the XML-to-DICOM converter (dcmdata/libdcxml/xml2dcm.cc) of OFFIS DCMTK 3.7.0 allows an attacker to cause a denial of service (stack exhaustion and process crash) via a crafted XML file with deeply nested sequence and item elements. The xml2dcm tool and any service that converts untrusted XML to DICOM with this code are affected. The issue is fixed in commit 87f256d73e30656a822bf7d76d1cf1d9bb693954.
Uncontrolled recursion in DcmDicomDir::moveRecordToTree() in dcmdata/libsrc/dcdicdir.cc of OFFIS DCMTK 3.7.0 allows an attacker to cause a denial of service (stack exhaustion and process crash) via a crafted DICOMDIR file with a deeply chained sequence of directory records linked through the Offset of Referenced Lower-Level Directory Entity attribute. Any application that opens the DICOMDIR is affected, including dcmgpdir and media viewers built on DCMTK. The issue is fixed in commit ca761f7f3dcaaddaa95be87cf5d736138d7c3a9f.
Uncontrolled recursion in XMLNode::ParseXMLElement() and XMLNode::emptyTheNode() in the bundled XML parser (ofstd/libsrc/ofxml.cc) of OFFIS DCMTK 3.7.0 allows an attacker to cause a denial of service (stack exhaustion and process crash) via a crafted XML document with deeply nested elements. The parser is reachable through dcmencap when encapsulating a CDA document, and through any application that calls OFXMLParser::parseFile() or OFXMLParser::parseString() on untrusted input. The issue is fixed in commit d12e350e687530eb41e2b0c860aff4d8c04e5941.
Uncontrolled recursion in DcmSequenceOfItems::read() and DcmItem::read() in the dcmdata library of OFFIS DCMTK 3.7.0 allows a remote, unauthenticated attacker to cause a denial of service (stack exhaustion and process crash) via a DICOM dataset containing deeply nested sequences (SQ elements). The dataset can be sent in a C-STORE request to storescp, dcmrecv, dcmqrscp, or any other DICOM service built on DCMTK, because the received dataset is parsed before any authentication takes place. Local tools such as dcmdump also crash when opening such a file. The issue is fixed in commit 885ff0f10372bd589b5f44cea974f28a3964cb0f, which adds a configurable sequence nesting depth limit (default 64).
DCMTK versions up to 3.7.0 have a heap over-read vulnerability in the ConcatenationLoader component. This occurs when pixel data frames are copied without validating the PixelData buffer length against the declared NumberOfFrames. Maliciously crafted DICOM files can trigger heap over-reads, potentially causing application crashes or leaking adjacent heap memory.
An unauthenticated attacker can read worklist records from a directory outside the intended per-AE worklist storage area. In a multi-area deployment, this can cross departmental or clinic data separation.
An unauthenticated remote attacker can repeatedly send a single crafted connection request to leak memory. Against storescp in its default single-process mode, memory grows quickly and the service is eventually killed, after which it stops accepting connections until an operator restarts it.
A malicious or compromised server can make a DCMTK client using bit-preserving C-GET storage mode write files outside the chosen output directory, using both relative (../) paths and absolute paths.
An unauthenticated attacker can crash the worklist server with a single crafted query when the server has a valid Called AE Title / storage directory, the expected lockfile, and at least one matching worklist record.
An unauthenticated remote attacker can repeatedly send crafted connection requests to leak memory. In single-process deployments the memory grows until the service is killed and the port stops responding until restart.
A flaw has been found in OFFIS DCMTK up to 3.7.0. The affected element is the function XMLNode::parseFile in the library ofstd/libsrc/ofxml.cc. Executing a manipulation can lead to heap-based buffer overflow. The attack may be performed from remote. The exploit has been published and may be used. This patch is called 1d4b3815c0987840a983160bfc671fef63a3105b. It is best practice to apply a patch to resolve this issue. The vendor was contacted early, responded in a very professional manner and quickly released a fixed version of the affected product.
A weakness has been identified in OFFIS DCMTK 3.7.0. This affects the function DcmQueryRetrieveIndexDatabaseHandle::deleteOldestImages of the file dcmqrdb/libsrc/dcmqrdbi.cc of the component dcmqrscp. Executing a manipulation can lead to heap-based buffer overflow. The attack may be launched remotely. This patch is called 0f78a4ef6f645ea5530166e445e5436a5de58e75. A patch should be applied to remediate this issue.
A security flaw has been discovered in OFFIS DCMTK up to 3.7.0. This impacts the function executeOnReception/executeOnEndOfStudy of the file dcmnet/apps/storescp.cc of the component storescp. Performing a manipulation results in os command injection. Remote exploitation of the attack is possible. The patch is named edbb085e45788dccaf0e64d71534cfca925784b8. Applying a patch is the recommended action to fix this issue.
A flaw has been found in OFFIS DCMTK up to 3.6.9. The impacted element is the function DcmQueryRetrieveIndexDatabaseHandle::startFindRequest/DcmQueryRetrieveIndexDatabaseHandle::startMoveRequest in the library dcmqrdb/libsrc/dcmqrdbi.cc of the component dcmqrscp. This manipulation causes null pointer dereference. The attack requires local access. Upgrading to version 3.7.0 is sufficient to resolve this issue. Patch name: ffb1a4a37d2c876e3feeb31df4930f2aed7fa030. You should upgrade the affected component.
A vulnerability was detected in OFFIS DCMTK up to 3.6.9. Affected by this issue is the function DcmByteString::makeDicomByteString of the file dcmdata/libsrc/dcbytstr.cc of the component dcmdata. The manipulation results in memory corruption. The attack can be launched remotely. Upgrading to version 3.7.0 can resolve this issue. The patch is identified as 4c0e5c10079392c594d6a7abd95dd78ac0aa556a. You should upgrade the affected component.
An improper array index validation vulnerability exists in the determineMinMax functionality of OFFIS DCMTK 3.6.8. A specially crafted DICOM file can lead to an out-of-bounds write. An attacker can provide a malicious file to trigger this vulnerability.
An improper array index validation vulnerability exists in the nowindow functionality of OFFIS DCMTK 3.6.8. A specially crafted DICOM file can lead to an out-of-bounds write. An attacker can provide a malicious file to trigger this vulnerability.