Severity by source
CVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:N/VI:H/VA:H/SC:N/SI:N/SA:N/E:X/CR:X/IR:X/AR:X/MAV:X/MAC:X/MAT:X/MPR:X/MUI:X/MVC:X/MVI:X/MVA:X/MSC:X/MSI:X/MSA:X/S:X/AU:X/R:X/V:X/RE:X/U:X
Network-reachable via REST API or DICOM protocol; low privilege required for image submission; no confidentiality impact per CVSS 4.0 VC:N signal.
Primary rating from Vendor (icscert).
CVSS VectorVendor: icscert
Lifecycle Timeline
6DescriptionCVE.org
An integer overflow in a specified pitch and buffer-size computation leads to a heap out-of-bounds write when Orthanc DICOM Server decodes an attacker-supplied PNG.
AnalysisAI
Heap out-of-bounds write in Orthanc DICOM Server allows a low-privileged network attacker to corrupt memory by supplying a malformed PNG image, potentially enabling remote code execution or denial-of-service against medical imaging infrastructure. The root cause is a CWE-190 integer overflow in pitch and buffer-size computation during PNG decoding, reported by CISA ICS-CERT under medical advisory ICSMA-26-253-02. …
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Attack ChainAIDerived
Hypothetical attack flow derived from CVE metadata
Vulnerability AssessmentAI
| Exploitation | Exploitation requires low-level authenticated access to the Orthanc DICOM Server - specifically, the ability to submit image data (e.g., via HTTP POST to the REST API /instances endpoint or via DICOM C-STORE over the DICOM protocol). … Additional conditions and limiting factors are described in the full assessment. |
| Risk Assessment | The CVSS 4.0 score of 7.2 (AV:N/AC:L/AT:N/PR:L/UI:N/VC:N/VI:H/VA:H) reflects a network-reachable, low-complexity flaw requiring only low-level authentication - consistent with any user who can submit images to Orthanc, such as a DICOM modality or a web client with upload rights. … Full risk analysis with EPSS, KEV, and SSVC signal comparison available after sign-in. |
| Exploit Scenario | Full exploit scenario with step-by-step reproduction available after sign-in. |
| Remediation | The primary fix is to upgrade to the patched Orthanc DICOM Server release available at https://orthanc.uclouvain.be/downloads/index.html; administrators should consult that page and cross-reference the CISA advisory ICSMA-26-253-02 to identify the exact fixed version, as the specific release number is not explicitly stated in the available intelligence. … Detailed patch versions, workarounds, and compensating controls in full report. |
Recommended ActionAI
Within 24 hours, audit all Orthanc DICOM Server instances to identify production deployments and network accessibility, particularly any internet-facing systems. …
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Heap buffer overflow in Orthanc DICOM Server (versions ≤1.12.10) allows unauthenticated remote code execution via malfor
Heap buffer overflow in Orthanc DICOM Server ≤1.12.10 allows unauthenticated remote attackers to achieve arbitrary code
Orthanc server prior to version 1.5.8 does not enable basic authentication by default when remote access is enabled. Rat
Out-of-bounds heap read in Orthanc DICOM Server ≤1.12.10 allows unauthenticated remote attackers to extract heap memory
Orthanc before 1.12.0 allows authenticated users with access to the Orthanc API to overwrite arbitrary files on the file
Memory exhaustion in Orthanc DICOM Server versions up to 1.12.10 allows remote unauthenticated attackers to crash the se
Memory exhaustion in Orthanc DICOM Server versions ≤1.12.10 allows remote attackers to trigger denial of service by uplo
Memory exhaustion in Orthanc DICOM Server ≤1.12.10 allows unauthenticated remote attackers to trigger denial-of-service
Out-of-bounds read in Orthanc DICOM Server's DicomStreamReader allows remote unauthenticated attackers to trigger denial
Heap buffer overflow in Orthanc DICOM Server (versions ≤1.12.10) allows local attackers to corrupt data or crash the ser
Out-of-bounds read in Orthanc DICOM Server's Philips PMSCT_RLE1 decompression allows local attackers to leak heap memory
Cross-site scripting in Orthanc Explorer 2 versions up to and including 1.12.0 enables remote attackers to inject arbitr
Same weakness CWE-190 – Integer Overflow or Wraparound
View allSame technique Buffer Overflow
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External POC / Exploit Code
Leaving vuln.today
EUVD-2026-76113
GHSA-x3f6-h73j-r3cw