CVE-2026-32711

pydicom is a pure Python package for working with DICOM files. Versions 2.0.0-rc.1 through 3.0.1 are vulnerable to Path Traversal through a maliciously crafted DICOMDIR ReferencedFileID when it is set to a path outside the File-set root. pydicom resolves the path only to confirm that it exists, but does not verify that the resolved path remains under the File-set root. Subsequent public FileSet operations such as copy(), write(), and remove()+write(use_existing=True) use that unchecked path in file I/O operations. This allows arbitrary file read/copy and, in some flows, move/delete outside the File-set root. This issue has been fixed in version 3.0.2.

pydicom is a pure Python package for working with DICOM files. Versions 2.0.0-rc.1 through 3.0.1 are vulnerable to Path Traversal through a maliciously crafted DICOMDIR ReferencedFileID when it is set to a path outside the File-set root. pydicom resolves the path only to confirm that it exists, but does not verify that the resolved path remains under the File-set root. Subsequent public FileSet operations such as copy(), write(), and remove()+write(use_existing=True) use that unchecked path in file I/O operations. This allows arbitrary file read/copy and, in some flows, move/delete outside the File-set root. This issue has been fixed in version 3.0.2.

Summary

A crafted DICOMDIR can set ReferencedFileID to a path outside the File-set root. pydicom resolves the path only to confirm that it exists, but does not verify that the resolved path remains under the File-set root. Subsequent public FileSet operations such as copy(), write(), and remove()+write(use_existing=True) use that unchecked path in file I/O operations. This allows arbitrary file read/copy and, in some flows, move/delete outside the File-set root.

Details

Verified on pydicom 3.1.0.dev0.

Relevant logic is in src/pydicom/fileset.py:

• RecordNode._file_id converts ReferencedFileID directly to Path(...)
• FileSet.load() checks only (root / file_id).resolve(strict=True) to confirm existence
• FileSet.load() does not verify that the final resolved path is contained within the File-set root
• FileInstance.path returns self.file_set.path / self.node._file_id
• FileSet.copy() uses shutil.copyfile(instance.path, dst)
• FileSet.write() uses Path(instance.path).unlink() and shutil.move(...)

Because there is no containment check such as resolved.relative_to(root.resolve(strict=True)), a malicious DICOMDIR can reference:

• absolute paths such as /etc/passwd
• traversal paths such as ../...
• syntactically conformant file IDs that escape via symlinks

This is not limited to obviously invalid VR input. Even when pydicom emits warnings for invalid ReferencedFileID values, the operation is not blocked. I also confirmed a symlink-based variant using a conformant file ID.

A realistic server-side scenario is:

1. a user uploads a DICOM File-set zip
2. the server loads the uploaded DICOMDIR using FileSet
3. the server re-exports or reorganizes the File-set using FileSet.copy() or FileSet.write()
4. a server-local file referenced by the malicious DICOMDIR is included in the exported result

PoC

Minimal reproduction:

1. Copy a sample File-set that contains a valid DICOMDIR
2. Modify one DirectoryRecordSequence item so that ReferencedFileID = "/etc/passwd" (or /tmp/secret.txt)
3. Load it with FileSet(ds) or FileSet(path_to_dicomdir)
4. Call FileSet.copy(new_root)
5. Observe that the exported File-set contains the contents of the referenced external file

Example:

from pathlib import Path
from tempfile import mkdtemp
import shutil
from pydicom import dcmread
from pydicom.fileset import FileSet

base = Path("src/pydicom/data/test_files/dicomdirtests")
root = Path(mkdtemp(prefix="fsroot_"))
out = Path(mkdtemp(prefix="fsout_"))

shutil.copy2(base / "DICOMDIR", root / "DICOMDIR")
for d in ("77654033", "98892003", "98892001"):
    shutil.copytree(base / d, root / d)

ds = dcmread(root / "DICOMDIR")
item = next(x for x in ds.DirectoryRecordSequence if "ReferencedFileID" in x)
item.ReferencedFileID = "/etc/passwd"

fs = FileSet(ds)
fs.copy(out)

I also verified the issue in a simple web import/export demo where an uploaded malicious File-set caused /etc/passwd to be copied into the exported result.

If useful, I can provide the exact malicious sample and the demo environment separately.

Impact

This is a path traversal / root containment bypass in FileSet handling.

Observed impact:

arbitrary file read/copy outside the File-set root via FileSet.copy() arbitrary file move outside the File-set root via FileSet.write() arbitrary file delete outside the File-set root via FileSet.remove(...); write(use_existing=True) Affected applications are those that accept untrusted DICOMDIR / File-set input and then call public FileSet workflows such as load(), copy(), write(), or remove().

A realistic impact is server-side file disclosure in import/export workflows.

pydicom is a pure Python package for working with DICOM files. Versions 2.0.0-rc.1 through 3.0.1 are vulnerable to Path Traversal through a maliciously crafted DICOMDIR ReferencedFileID when it is set to a path outside the File-set root. pydicom resolves the path only to confirm that it exists, but does not verify that the resolved path remains under the File-set root. Subsequent public FileSet operations such as copy(), write(), and remove()+write(use_existing=True) use that unchecked path in file I/O operations. This allows arbitrary file read/copy and, in some flows, move/delete outside the File-set root. This issue has been fixed in version 3.0.2.

pydicom is a pure Python package for working with DICOM files. Versions 2.0.0-rc.1 through 3.0.1 are vulnerable to Path Traversal through a maliciously crafted DICOMDIR ReferencedFileID when it is set to a path outside the File-set root. pydicom resolves the path only to confirm that it exists, but does not verify that the resolved path remains under the File-set root. Subsequent public FileSet operations such as copy(), write(), and remove()+write(use_existing=True) use that unchecked path in file I/O operations. This allows arbitrary file read/copy and, in some flows, move/delete outside the File-set root. This issue has been fixed in version 3.0.2.

pydicom is a pure Python package for working with DICOM files. Versions 2.0.0-rc.1 through 3.0.1 are vulnerable to Path Traversal through a maliciously crafted DICOMDIR ReferencedFileID when it is set to a path outside the File-set root. pydicom resolves the path only to confirm that it exists, but does not verify that the resolved path remains under the File-set root. Subsequent public FileSet operations such as copy(), write(), and remove()+write(use_existing=True) use that unchecked path in file I/O operations. This allows arbitrary file read/copy and, in some flows, move/delete outside the File-set root. This issue has been fixed in version 3.0.2.