CVE-2026-5444: high-severity vulnerability in Orthanc DICOM Server
Heap Buffer Overflow in PAM Image Buffer Allocation
Published · Updated
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21Vexday Risk Score
No sign of exploitation. No public exploitation artifact known so far.
ssvc Trackcvss 7.1epss 0.2%
A heap buffer overflow vulnerability exists in the PAM image parsing logic. When Orthanc processes a crafted PAM image embedded in a DICOM file, image dimensions are multiplied using 32-bit unsigned arithmetic. Specially chosen values can cause an integer overflow during buffer size calculation, resulting in the allocation of a small buffer followed by a much larger write operation during pixel processing.
CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:N/I:H/A:H
Affected products
Orthanc · DICOM ServerRelated CVEs — Orthanc DICOM Server
In the same product, most dangerous first.
CVE-2026-5445CRITICALOut-of-Bounds Read in DicomImageDecoder (DecodeLookupTable)EPSS 0.7%CVE-2026-5437HIGHOut-of-Bounds Read in DicomStreamReaderEPSS 0.7%CVE-2026-5442CRITICALHeap Buffer Overflow in DICOM Image Decoder via VR UL DimensionsEPSS 0.6%CVE-2026-5440HIGHMemory Exhaustion via Unbounded Content-LengthEPSS 0.6%CVE-2026-5443CRITICALHeap Buffer Overflow in DICOM Image Decoder (Palette Color Decode)EPSS 0.6%CVE-2026-87020HIGHOrthanc DICOM Server Integer Overflow or WraparoundEPSS 0.6%