9.8
CRITICAL CVSS 3.1
CVE-2026-5443
Heap Buffer Overflow in DICOM Image Decoder (Palette Color Decode)
Description

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.

INFO

Published Date :

April 9, 2026, 3:16 p.m.

Last Modified :

April 14, 2026, 8:19 p.m.

Remotely Exploit :

Yes !
Affected Products

The following products are affected by CVE-2026-5443 vulnerability. Even if cvefeed.io is aware of the exact versions of the products that are affected, the information is not represented in the table below.

ID Vendor Product Action
1 Orthanc-server orthanc
CVSS Scores
The Common Vulnerability Scoring System is a standardized framework for assessing the severity of vulnerabilities in software and systems. We collect and displays CVSS scores from various sources for each CVE.
Score Version Severity Vector Exploitability Score Impact Score Source
CVSS 3.1 CRITICAL 134c704f-9b21-4f2e-91b3-4a467353bcc0
Solution
Fix heap buffer overflow by validating pixel length calculations to prevent memory corruption.
  • Ensure pixel length validation uses 64-bit multiplication.
  • Implement overflow checks for width and height calculations.
  • Update image decoding logic to handle potential overflows.
  • Test image decoding with various pixel dimensions.
References to Advisories, Solutions, and Tools

Here, you will find a curated list of external links that provide in-depth information, practical solutions, and valuable tools related to CVE-2026-5443.

URL Resource
https://kb.cert.org/vuls/id/536588 Third Party Advisory VDB Entry
https://www.machinespirits.de/ Not Applicable
https://www.orthanc-server.com/ Product
CWE - Common Weakness Enumeration

While CVE identifies specific instances of vulnerabilities, CWE categorizes the common flaws or weaknesses that can lead to vulnerabilities. CVE-2026-5443 is associated with the following CWEs:

Common Attack Pattern Enumeration and Classification (CAPEC)

Common Attack Pattern Enumeration and Classification (CAPEC) stores attack patterns, which are descriptions of the common attributes and approaches employed by adversaries to exploit the CVE-2026-5443 weaknesses.

We scan GitHub repositories to detect new proof-of-concept exploits. Following list is a collection of public exploits and proof-of-concepts, which have been published on GitHub (sorted by the most recently updated).

Results are limited to the first 15 repositories due to potential performance issues.

The following list is the news that have been mention CVE-2026-5443 vulnerability anywhere in the article.

  • Daily CyberSecurity
Critical—9 Vulnerabilities in Orthanc DICOM Servers Threaten Medical Data Integrity

A series of critical security flaws has been uncovered in Orthanc, the popular open-source “lightweight Digital Imaging and Communications in Medicine (DICOM) server used to store, process, and retrie ... Read more

Published Date: Apr 14, 2026 (2 weeks, 2 days ago)

The following table lists the changes that have been made to the CVE-2026-5443 vulnerability over time.

Vulnerability history details can be useful for understanding the evolution of a vulnerability, and for identifying the most recent changes that may impact the vulnerability's severity, exploitability, or other characteristics.

  • Initial Analysis by [email protected]

    Apr. 14, 2026

    Action Type Old Value New Value
    Added CWE CWE-787
    Added CPE Configuration OR *cpe:2.3:a:orthanc-server:orthanc:*:*:*:*:*:*:*:* versions up to (excluding) 1.12.11
    Added Reference Type CERT/CC: https://kb.cert.org/vuls/id/536588 Types: Third Party Advisory, VDB Entry
    Added Reference Type CERT/CC: https://www.machinespirits.de/ Types: Not Applicable
    Added Reference Type CERT/CC: https://www.orthanc-server.com/ Types: Product
  • CVE Modified by 134c704f-9b21-4f2e-91b3-4a467353bcc0

    Apr. 14, 2026

    Action Type Old Value New Value
    Added CVSS V3.1 AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H
  • New CVE Received by [email protected]

    Apr. 09, 2026

    Action Type Old Value New Value
    Added Description 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.
    Added Reference https://kb.cert.org/vuls/id/536588
    Added Reference https://www.machinespirits.de/
    Added Reference https://www.orthanc-server.com/
EPSS is a daily estimate of the probability of exploitation activity being observed over the next 30 days. Following chart shows the EPSS score history of the vulnerability.