Evidence used
- No CISA KEV confirmation is currently recorded.
- The selected CVSS metric records a network-reachable, unauthenticated path with no user interaction.
- EPSS is 0.88% for the current model date.
BlackTreeCVE IntelligenceFull vulnerability report · 2026
CVE-2026-5443High confidence
Heap Buffer Overflow in DICOM Image Decoder (Palette Color Decode)
Orthanc · DICOM Server
9.8CriticalCVSS 3.1
Within 72 hours
Fix not verifiedCritical technical impact with a remotely reachable, unauthenticated path; no CISA KEV confirmation is currently recorded.
R
Open reassessment dashboard →Operational reassessment
Published severity in operational context
Published severityCritical→Operational priority:Critical, unchanged from published severity.unchanged
Compensating controls
- Restrict the affected network interface to trusted sources where business-safe.
- Monitor vendor guidance and exploitation sources for a material change.
Verification
- Confirm that the asset runs Orthanc DICOM Server and falls inside the recorded affected range.
- Recheck the vendor advisory before scheduling a change because no verified fixed version is currently retained.
- Validate exposure, authentication requirements and compensating controls in the actual environment.
- Reopen this reassessment when CVSS, KEV, EPSS, exploit evidence or remediation changes.
Distribution package intelligence
5 package statesRelease-specific package status
Debian, ubuntu findings are scoped to the named distribution, release and source package. An absent finding does not mean a package is unaffected.
Repository candidate not checked
A published vendor fix does not prove that a matching update is enabled and installable on a particular asset. Confirm the local package candidate before scheduling remediation.
| Distribution release | Source package | Vendor state | Fixed version | Evidence |
|---|---|---|---|---|
| Debian trixietrixie · source | orthanc | Affected, no fix publishedDebian currently tracks this release as open. | Not published in this feed | Debian Security Tracker ↗Source updated 6 Oct 2026 |
| Debian bookwormbookworm · source | orthanc | Affected, no fix publishedDebian currently tracks this release as open. | Not published in this feed | Debian Security Tracker ↗Source updated 6 Oct 2026 |
| Debian forkyforky · source | orthanc | Vendor fix publishedDebian records a fixed source-package version for this release. | 1.12.10+dfsg-4 | Debian Security Tracker ↗Source updated 6 Oct 2026 |
| Debian sidsid · source | orthanc | Vendor fix publishedDebian records a fixed source-package version for this release. | 1.12.10+dfsg-4 | Debian Security Tracker ↗Source updated 6 Oct 2026 |
| Ubuntu 24.04 LTSnoble · standard archive | orthanc | Under evaluationCanonical reports that the package might be affected and still needs evaluation or fixing. | Not published in this feed | Canonical Ubuntu Security ↗Source updated 5 Oct 2026 |
Critical technical impact with a remotely reachable, unauthenticated path; no CISA KEV confirmation is currently recorded.
Fix not verified01
What, why and how
A heap buffer overflow vulnerability exists during the decoding of `PALETTE COLOR` DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.
What
A heap buffer overflow vulnerability exists during the decoding of `PALETTE COLOR` DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.
Why
The product performs a calculation that can produce an integer overflow or wraparound when the logic assumes that the resulting value will always be larger than the original value. This occurs when an integer value is incremented to a value that is too large to store in the associated representation. When this occurs, the value may become a very small or negative number.
How
An attacker operating through a network path may attempt exploitation without authentication or user interaction. If successful, the issue may cause the confidentiality, integrity or availability impact described by the vendor.
What
A heap buffer overflow vulnerability exists during the decoding of `PALETTE COLOR` DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.
Why
The product performs a calculation that can produce an integer overflow or wraparound when the logic assumes that the resulting value will always be larger than the original value. This occurs when an integer value is incremented to a value that is too large to store in the associated representation. When this occurs, the value may become a very small or negative number.
How
An attacker operating through a network path may attempt exploitation without authentication or user interaction. If successful, the issue may cause the confidentiality, integrity or availability impact described by the vendor.
02
Exploit reality and attack path
CVSS severity, EPSS forecast probability, public exploit material and CISA-confirmed exploitation are separate signals.
Observed exploitation No confirmed evidence
?
Confirmed exploitation and public exploit material are separate signals. Attacks can occur without public proof-of-concept or exploit code.No CISA KEV match was present at the last successful refresh. This means no confirmation from that source, not proof of no exploitation.
Public PoC / exploit material None recorded
?
Confirmed exploitation and public exploit material are separate signals. Attacks can occur without public proof-of-concept or exploit code.No exploit-tagged reference or CISA SSVC proof-of-concept state is currently recorded. Research may still exist outside the structured feeds.
- Likely attack path
- a network path → Integer Overflow or Wraparound → cause the confidentiality, integrity or availability impact described by the vendor
- Attack surface
- Network
- Privileges required
- None: unauthenticated exploitation is possible
- User interaction
- None
- Attack complexity
- Low: no specialised conditions are recorded
- Security boundary
- Unchanged: impact remains within the vulnerable component's security authority
- Weakness
?
CWE means Common Weakness Enumeration: a standard category for the underlying weakness. - CWE-190 ↗
CWE-190: Integer Overflow or Wraparound. The product performs a calculation that can produce an integer overflow or wraparound when the logic assumes that the resulting value will always be larger than the original value. This occurs when an integer value is incremented to a value that is too large to store in the associated representation. When this occurs, the value may become a very small or negative number.
- CVSS vector
?
CVSS means Common Vulnerability Scoring System. The vector records the metric values used to calculate technical severity. CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:HCommon Vulnerability Scoring System 3.1: the compact vector below is decoded into plain language.
AVNetworkAttack vector: The vulnerable component can be reached over a network.ACLowAttack complexity: No specialised conditions are required beyond attacker-controlled input.PRNonePrivileges required: The attacker does not need an account or existing privileges.UINoneUser interaction: No action by another user is required.SUnchangedScope: The security impact remains within the vulnerable component's authority.CHighConfidentiality impact: A successful attack can cause a major loss.IHighIntegrity impact: A successful attack can cause a major loss.AHighAvailability impact: A successful attack can cause a major loss.- Post-exploitation / living off the land
- No specific living-off-the-land technique is confirmed in the structured sources. Monitor normal administration tools for activity inconsistent with the affected service's baseline.
03
Patch and workaround
Operational remediation based on structured source evidence.
- Status
?
Patch availability is based on structured fixed-version fields and authoritative update references. If no fix is verified, check the vendor advisory before making a change. - Fix not verified
- Affected
- DICOM Server: ≤ 1.12.10
- Fixed
- No fixed version is explicitly recorded in the structured CVE data.
- Action
- No verified patch reference is present in the current structured sources. Check the vendor advisory before making a change.
- Workaround
- No verified workaround is recorded. If business-safe, reduce exposure to the affected interface and allow only trusted sources until authoritative guidance is available.
04
Evidence and provenance
Published 9 Apr 2026 · Last source change 14 Apr 2026, 16:34 UTC · CWE-190 · Integer Overflow or Wraparound
CVE recordCVE.org · 5.2
CVSS sourceCISA ADP
EPSS source FIRST · tracked since 2026-08-14
?
The date BlackTree first stored a score for this CVE from the daily FIRST EPSS feed.European sourceENISA EUVD · EUVD-2026-20922
Product sourceCNA
Remediation sourceCVE/CNA references
CWE sourceCNA
NVD statusNVD enriched
Core structured fields are present and their contributing authorities are shown above.
Material change intelligence
View recent updates ↗What changed after publication
No material field changes have been recorded since change tracking began. Routine source refreshes and cosmetic edits are intentionally excluded.
Technical terms and abbreviations used in this report
- CVE
- Common Vulnerabilities and Exposures: the public identifier for one disclosed vulnerability.
- CVSS
- Common Vulnerability Scoring System: a technical severity framework; it is not patching priority by itself.
- EPSS
- Exploit Prediction Scoring System: FIRST's estimate of the probability that exploitation activity will be observed in the next 30 days; it is a forecast, not confirmation.
- CWE
- Common Weakness Enumeration: the standard category describing the underlying software or hardware weakness.
- CNA
- CVE Numbering Authority: an organisation authorised to assign and publish CVE records.
- CISA ADP
- Cybersecurity and Infrastructure Security Agency Authorized Data Publisher: structured enrichment added to a CVE record.
- NVD
- National Vulnerability Database: NIST's enrichment service for CVE records.
- CERT / CSIRT
- A computer security incident response team that publishes warnings or coordinates incident response.
- PoC
- Proof of concept: public material that demonstrates or helps reproduce exploitation.
- CSAF
- Common Security Advisory Framework: a machine-readable format for security advisories.
- LoTL
- Living off the land: abuse of legitimate tools or system functions during an attack.