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Orthanc CVE-2026-5440

| EUVDEUVD-2026-20917 HIGH
Allocation of Resources Without Limits or Throttling (CWE-770)
2026-04-09 certcc GHSA-826q-ppf7-8g9v
7.5
CVSS 3.1 · NVD
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Severity by source

NVD PRIMARY
7.5 HIGH
AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:N/A:H

Primary rating from NVD · only source for this CVE.

CVSS VectorNVD

Attack Vector
Network
Attack Complexity
Low
Privileges Required
None
User Interaction
None
Scope
Unchanged
Confidentiality
None
Integrity
None
Availability
High

Lifecycle Timeline

4
Analysis Generated
Apr 14, 2026 - 17:23 vuln.today
CVSS changed
Apr 14, 2026 - 17:22 NVD
7.5 (HIGH)
EUVD ID Assigned
Apr 09, 2026 - 15:00 euvd
EUVD-2026-20917
CVE Published
Apr 09, 2026 - 14:43 nvd
N/A

DescriptionCVE.org

A memory exhaustion vulnerability exists in the HTTP server due to unbounded use of the Content-Length header. The server allocates memory directly based on the attacker supplied header value without enforcing an upper limit. A crafted HTTP request containing an extremely large Content-Length value can trigger excessive memory allocation and server termination, even without sending a request body.

AnalysisAI

Memory exhaustion in Orthanc DICOM Server versions up to 1.12.10 allows remote unauthenticated attackers to crash the service by sending HTTP requests with excessively large Content-Length header values. The server allocates memory based on the header without validation, enabling denial-of-service without transmitting actual payload data. EPSS score of 0.02% (6th percentile) indicates low observed exploitation probability, and no active exploitation or public POC has been identified at time of analysis.

Technical ContextAI

Orthanc DICOM Server is a lightweight, RESTful medical imaging server for healthcare applications handling DICOM (Digital Imaging and Communications in Medicine) protocol. This vulnerability stems from improper input validation in the HTTP request handling logic where the server's memory allocation mechanism directly trusts the client-supplied Content-Length header value. Without enforcing maximum size constraints or resource quotas, an attacker can specify arbitrary large values (e.g., multiple gigabytes or terabytes) in the header, triggering immediate memory allocation that exceeds available system resources. This represents a classic resource exhaustion attack pattern where metadata validation failures enable denial-of-service conditions. The vulnerability is particularly impactful in medical environments where DICOM server availability directly affects clinical workflows and patient care delivery.

RemediationAI

Organizations should upgrade Orthanc DICOM Server to version 1.12.11 or later, which is expected to include input validation limiting Content-Length header values to reasonable thresholds. Until patching is complete, implement network-level mitigations including web application firewall rules to reject HTTP requests with Content-Length headers exceeding legitimate medical imaging file sizes (typically under 500MB for DICOM studies). Deploy reverse proxy solutions with request size limits and rate limiting to prevent repeated exploitation attempts. Restrict network access to Orthanc servers using firewall rules, allowing connections only from trusted PACS workstations and imaging modalities. Monitor server memory utilization for anomalous spikes indicating exploitation attempts. Consult vendor advisory at https://www.orthanc-server.com/ and CERT/CC vulnerability note https://kb.cert.org/vuls/id/536588 for official remediation guidance and updated release information.

CVE-2026-5442 CRITICAL
9.8 Apr 09

Heap buffer overflow in Orthanc DICOM Server (versions ≤1.12.10) allows unauthenticated remote code execution via malfor

CVE-2026-5443 CRITICAL
9.8 Apr 09

Heap buffer overflow in Orthanc DICOM Server ≤1.12.10 allows unauthenticated remote attackers to achieve arbitrary code

CVE-2025-0896 CRITICAL
9.2 Feb 13

Orthanc server prior to version 1.5.8 does not enable basic authentication by default when remote access is enabled. Rat

CVE-2026-5445 CRITICAL
9.1 Apr 09

Out-of-bounds heap read in Orthanc DICOM Server ≤1.12.10 allows unauthenticated remote attackers to extract heap memory

CVE-2023-33466 HIGH
8.8 Jun 29

Orthanc before 1.12.0 allows authenticated users with access to the Orthanc API to overwrite arbitrary files on the file

CVE-2026-5439 HIGH
7.5 Apr 09

Memory exhaustion in Orthanc DICOM Server versions ≤1.12.10 allows remote attackers to trigger denial of service by uplo

CVE-2026-5438 HIGH
7.5 Apr 09

Memory exhaustion in Orthanc DICOM Server ≤1.12.10 allows unauthenticated remote attackers to trigger denial-of-service

CVE-2026-5437 HIGH
7.5 Apr 09

Out-of-bounds read in Orthanc DICOM Server's DicomStreamReader allows remote unauthenticated attackers to trigger denial

CVE-2026-87020 HIGH
7.2 Sep 11

Heap out-of-bounds write in Orthanc DICOM Server allows a low-privileged network attacker to corrupt memory by supplying

CVE-2026-5444 HIGH
7.1 Apr 09

Heap buffer overflow in Orthanc DICOM Server (versions ≤1.12.10) allows local attackers to corrupt data or crash the ser

CVE-2026-5441 HIGH
7.1 Apr 09

Out-of-bounds read in Orthanc DICOM Server's Philips PMSCT_RLE1 decompression allows local attackers to leak heap memory

CVE-2026-10173 LOW POC
2.1 May 31

Cross-site scripting in Orthanc Explorer 2 versions up to and including 1.12.0 enables remote attackers to inject arbitr

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CVE-2026-5440 vulnerability details – vuln.today

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