What is the CVSS score of CVE-2025-3481?

CVE-2025-3481 has a CVSS 3.1 base score of 7.8 (High). CVSS vector: CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H. EPSS exploitation probability: 0.5%.

How to fix or mitigate CVE-2025-3481?

Within 30 days: Identify all affected systems and apply vendor patches as part of regular patch cycle. If patching is delayed, consider network segmentation to limit exposure.

Pacs Server CVE-2025-3481

HIGH

Stack-based Buffer Overflow (CWE-121)

2025-05-22 zdi-disclosures@trendmicro.com

RCE Buffer Overflow Stack Overflow Pacs Server Meddream

7.8

CVSS 3.1 · NVD

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Vulnerability Assessment

Weakness	CWE CWE-121 OWASP Top 10:2025 A06:2021 - Vulnerable and Outdated Components ASVS 5.0 V15 - Secure Coding and Architecture Stack buffer bounds checking MITRE ATT&CK 1 technique across 1 tactic: Execution The technique list with ATT&CK links and the kill-chain view is part of the Basic plan and up. Sign in to read
Impact	CVSS score of 7.8 (HIGH). Attack characteristics: local attack vector, low complexity, no privileges required, user interaction required. EPSS exploitation probability: 0.48%.
Exploit ScenarioDerived	Successful exploitation could compromise the high-severity affected system.

This Month Plan within 30 days. Why: HIGH severity (CVSS 7.0-8.9).

No patch listed yet 0.5% exploitation probability (EPSS)

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AnalysisAIv1 – Mar 28, 2026

MedDream PACS Server DICOM File Parsing Stack-based Buffer Overflow Remote Code Execution Vulnerability. Rated high severity (CVSS 7.8), this vulnerability is no authentication required, low attack complexity. No vendor patch available.

RemediationAI

No vendor patch is available at time of analysis. Monitor vendor advisories for updates. Apply vendor patches when available. Implement network segmentation and monitoring as interim mitigations.

Affects your stack

Find out whether the stacks and servers you run are on an affected version.

Checking this CVE against your own stacks and servers is part of the Basic plan and up.

Technical ContextAI · show details

This vulnerability is classified under CWE-121. MedDream PACS Server DICOM File Parsing Stack-based Buffer Overflow Remote Code Execution Vulnerability. This vulnerability allows remote attackers to execute arbitrary code on affected installations of MedDream PACS Server. Authentication is not required to exploit this vulnerability. The specific flaw exists within the parsing of DICOM files. The issue results from the lack of proper validation of the length of user-supplied data prior to copying it to a fixed-length stack-based buffer. An attacker can leverage this vulnerability to execute code in the context of the service account. Was ZDI-CAN-25827. Affected products include: Meddream Pacs Server.

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Exploit and PoC references, threat intelligence from 22 sources

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Severity by source

NVD PRIMARY 7.8 HIGH

AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H

Primary rating from NVD · only source for this CVE.

CVSS VectorNVD

Attack Vector

Local

Attack Complexity

Low

Privileges Required

None

User Interaction

Required

Scope

Unchanged

Confidentiality

High

Integrity

High

Availability

High

DescriptionCVE.org

MedDream PACS Server DICOM File Parsing Stack-based Buffer Overflow Remote Code Execution Vulnerability. This vulnerability allows remote attackers to execute arbitrary code on affected installations of MedDream PACS Server. Authentication is not required to exploit this vulnerability.

The specific flaw exists within the parsing of DICOM files. The issue results from the lack of proper validation of the length of user-supplied data prior to copying it to a fixed-length stack-based buffer. An attacker can leverage this vulnerability to execute code in the context of the service account. Was ZDI-CAN-25827.

Executive ViewAI

Why It Matters

CVE-2025-3481 presents notable security risk, a stack-based buffer overflow vulnerability rated CVSS 7.8. Exploitation could allow attackers to corrupt memory, crash the application, or potentially execute arbitrary code. Organizations should apply vendor updates when available and consider compensating controls in the interim.

Business Impact: High

Compensating Controls

Apply vendor patch. If immediate patching is not feasible: (1) Enable ASLR and DEP where available; (2) Implement network segmentation; (3) Monitor for exploitation indicators.

Threat Intelligence Overview

EPSS Score

0.5%

Top 35% exploitable

How this decision was reached

The engine reads each signal below and applies a fixed list of rules from top to bottom. The first rule that matches sets the recommended action – like a statement, every line is shown.

SignalValue

Severity HIGH

CISA KEV No

Public POC No

EPSS 0.5%

Patch available No

Active threat No

Deciding rule

HIGH severity (CVSS 7.0-8.9)

What every action level means

Emergency Immediate action required. Criteria: CRITICAL + in CISA KEV (actively exploited) without patch, OR CRITICAL + EPSS > 30% without patch, OR CRITICAL + active threat signals without patch.

Act Now Prioritize within 24-48h. Criteria: in KEV with patch available, OR CRITICAL + public POC, OR HIGH + EPSS > 10%, OR CRITICAL + active threat, OR any CRITICAL severity.

This Week Schedule remediation this week. Criteria: HIGH severity (CVSS 7.0-8.9). Patch within normal change window.

This Month Plan within 30 days. Criteria: MEDIUM severity (CVSS 4.0-6.9), lower exploitation probability. Include in regular patch cycle.

Monitor Track and reassess. Criteria: LOW severity (CVSS 0.1-3.9), minimal exploitation risk. No immediate action needed.

SSVC AssessmentENISA

SSVC Decision· derived

Scheduled

Exploitation· derived

None

System Exposure· derived

Small

Automatable· derived

Human Impact

High

Priority Score

Low Medium High Critical

KEV: 0

EPSS: 0

CVSS: +39

PoC: 0

Weaponized: 0

Threat intel: 0

Gov advisory: 0

Attack Technique

Buffer Overflow HIGH

A buffer overflow occurs when a program writes more data to a memory buffer than it was allocated to hold, causing the excess data to spill into adjacent memory regions.

Stack-based Buffer Overflow HIGH

A stack-based buffer overflow occurs when a program writes more data to a buffer located on the stack than it was allocated to hold.

Remote Code Execution CRITICAL

Remote Code Execution represents the critical moment when an attacker successfully runs arbitrary code on a target system without physical access.