SOC status:Duty analyst on shift

UK Cyber Defence
VulnerabilityDeferred

CVE-2024-50591

An attacker with local access the to medical office computer can escalate his Windows user privileges to "NT AUTHORITY\SYSTEM" by exploiting a command injection vulnerability in the Elefant Update Service.

HIGH 7.8EPSS 2.00%

Does this matter?

High impact if exploited, but EPSS currently rates exploitation as unlikely (2.00%). Schedule it in the normal patch cycle and watch for a rise in EPSS or a public exploit.

Description

An attacker with local access the to medical office computer can escalate his Windows user privileges to "NT AUTHORITY\SYSTEM" by exploiting a command injection vulnerability in the Elefant Update Service. The command injection can be exploited by communicating with the Elefant Update Service which is running as "SYSTEM" via Windows Named Pipes.The Elefant Software Updater (ESU) consists of two components. An ESU service which runs as "NT AUTHORITY\SYSTEM" and an ESU tray client which communicates with the service to update or repair the installation and is running with user permissions. The communication is implemented using named pipes. A crafted message of type "MessageType.SupportServiceInfos" can be sent to the local ESU service to inject commands, which are then executed as "NT AUTHORITY\SYSTEM".

CVSS 3.1
7.8 HIGHCVSS:3.1/AV:L/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H
EPSS
2.00% probability · 81th percentile
Public exploits
None in Exploit-DB
CISA KEV
Not listed
Weakness
CWE-77
Source
551230f0-3615-47bd-b7cc-93e92e730bbf
EPSS trend
0%3%5%26 October 2026: 2.00%26 October 202626 October 2026

EPSS 2.0% since 26 October 2026; no change recorded yet. Points are recorded when the score first appears and whenever it moves by a percentage point or more.

Source: NVD record, EPSS from FIRST.org, KEV from CISA, exploits from Exploit-DB. Refreshed daily. Download this record as JSON.