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Fencer Vulns
critical 9.8

CVE-2026-5442 json

Heap Buffer Overflow in DICOM Image Decoder via VR UL Dimensions

published 2026-04-09 7 mo ago modified 2026-10-26 13 d ago also EUVD-2026-20920

cvss
9.8
version 3.1, CNA
cisa kev
Not listed
not in CISA's catalog
epss
0.6%
EPSS 0.6% chance of exploitation in 30 days, percentile 49%
public exploits
0
none known

Summary

A heap buffer overflow vulnerability exists in the DICOM image decoder. Dimension fields are encoded using Value Representation (VR) Unsigned Long (UL), instead of the expected VR Unsigned Short (US), which allows extremely large dimensions to be processed. This causes an integer overflow during frame size calculation and results in out-of-bounds memory access during image decoding.

Patch / fix

  • orthanc-server orthanc 1.12.11
  • orthanc Debian 14 1.12.10+dfsg-4

debian advisories DEBIAN-CVE-2026-5442

CISA SSVC

Exploitation
none
Automatable
yes
Technical impact
total
Assessed
6 mo ago

Exploit prediction

0.61% chance of exploitation in the next 30 days, higher than 49% of all scored CVEs (FIRST EPSS, 2026-11-08).

CVSS scores

assigned by version score vector
CISA ADP 3.1 9.8 CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H
CNA 3.1 9.8 CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H

Affected products

  • Orthanc DICOM Server

Classification

Weakness

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.