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Fencer Vulns
high 7.8

CVE-2019-11687 json

An issue was discovered in the DICOM Part 10 File Format in the NEMA DICOM Standard 1995 through 2019b and continuing in current implementa…

published 2019-05-02 7 y ago modified 2026-06-17 4 mo ago also EUVD-2019-3357

cvss
7.8
version 3.1, CNA
cisa kev
Not listed
not in CISA's catalog
epss
2.8%
EPSS 2.8% chance of exploitation in 30 days, percentile 86%
public exploits
0
none known

Summary

An issue was discovered in the DICOM Part 10 File Format in the NEMA DICOM Standard 1995 through 2019b and continuing in current implementations. The 128-byte preamble of a DICOM file that complies with this specification can contain arbitrary executable headers for multiple operating systems, including Portable Executable (PE) files for Windows and Executable and Linkable Format (ELF) files for Linux-based systems. This space is left unspecified so that dual-purpose files can be created. For example, dual-purpose TIFF/DICOM files are used in digital whole slide imaging applications in medicine. This design flaw enables system-wide compromise as malicious DICOM files are routinely shared between medical devices and hospital systems and transported via removable media for patient care coordination. To exploit this vulnerability, someone must execute the maliciously crafted file. These files can be executable even with the .dcm file extension. Anti-malware configurations at healthcare facilities often ignore medical imagery. DICOM files exist on systems that process protected health information, and successful exploitation could result in violations of regulatory compliance requirements such as HIPAA and FDA postmarket obligations.

CISA SSVC

Exploitation
none
Automatable
no
Technical impact
total
Assessed
5 mo ago

Exploit prediction

2.77% chance of exploitation in the next 30 days, higher than 86% of all scored CVEs (FIRST EPSS, 2026-11-08).

Exploits and checks

  • labs.cylera.com https://labs.cylera.com/2019.04.16/pe-dicom-medical-malware referenced PoC, tagged "exploit" by a source, unverified
  • github.com https://github.com/d00rt/pedicom referenced PoC, tagged "exploit" by a source, unverified

CVSS scores

assigned by version score vector
CISA ADP 3.1 7.8 CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H
CNA 3.1 7.8 CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H
NVD 3.0 7.8 CVSS:3.0/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H
NVD 2.0 9.3 AV:N/AC:M/Au:N/C:C/I:C/A:C

Classification

Weakness
  • CWE-20 Improper Input Validation

References

Sources

Fencer Vulns keeps one entry per vulnerability: the CVE id wins, then GHSA, and records that alias each other are merged, except that two CVEs always keep separate entries. The same data is available as JSON.