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UK Cyber Defence
VulnerabilityAnalyzed

CVE-2026-5442

A heap buffer overflow vulnerability exists in the DICOM image decoder.

CRITICAL 9.8EPSS 0.60%

Does this matter?

High impact if exploited, but EPSS currently rates exploitation as unlikely (0.60%). Schedule it in the normal patch cycle and watch for a rise in EPSS or a public exploit.

Description

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.

CVSS 3.1
9.8 CRITICALCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H
EPSS
0.60% probability · 48th percentile
Public exploits
None in Exploit-DB
CISA KEV
Not listed
Weakness
CWE-787
Affected
orthanc-server/orthanc
Source
cret@cert.org
EPSS trend
0%3%5%27 October 2026: 0.60%27 October 202627 October 2026

EPSS 0.6% since 27 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.