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CVE-2026-5443

Heap Buffer Overflow in DICOM Image Decoder (Palette Color Decode)

9.8 CriticalFix available

A heap buffer overflow vulnerability exists during the decoding of PALETTE COLOR DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.

Attack profile

How easy it is to exploit

Attack vector
Network
Complexity
Low
Privileges needed
None
User interaction
None

What an attacker can affect

Confidentiality
High
Integrity
High
Availability
High

Exploit likelihood

0.58%Up 0.6 points since Apr 10, 2026
90%50%10%1%

What each source reports

CVE List Score used 9.8

Heap Buffer Overflow in DICOM Image Decoder (Palette Color Decode)

A heap buffer overflow vulnerability exists during the decoding of PALETTE COLOR DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.

Record
CVE-2026-5443
CVSS 3.1
9.8 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H
Updated
2026-11-02
EUVDEUVD-2026-20922 9.8

A heap buffer overflow vulnerability exists during the decoding of PALETTE COLOR DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.

Record
EUVD-2026-20922
CVSS 3.1
9.8 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H
Updated
2026-11-02
GitHub AdvisoriesGHSA-x69c-qfxw-mhm7 9.8

A heap buffer overflow vulnerability exists during the decoding of `PALETTE COLOR` DICOM images....

A heap buffer overflow vulnerability exists during the decoding of PALETTE COLOR DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.

Record
GHSA-x69c-qfxw-mhm7
CVSS 3.1
9.8 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H
Weakness
CWE-787
Updated
2026-11-02
NVD 9.8

A heap buffer overflow vulnerability exists during the decoding of PALETTE COLOR DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.

Record
CVE-2026-5443
CVSS 3.1
9.8 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H
Weakness
CWE-787
Updated
2026-11-02
OSVDEBIAN-CVE-2026-5443 9.8

A heap buffer overflow vulnerability exists during the decoding of PALETTE COLOR DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.

Record
DEBIAN-CVE-2026-5443
CVSS 3.1
9.8 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H
Updated
2026-11-02
OSVUBUNTU-CVE-2026-5443 9.8

A heap buffer overflow vulnerability exists during the decoding of PALETTE COLOR DICOM images. Pixel length validation uses 32-bit multiplication for width and height calculations. If these values overflow, the validation check incorrectly succeeds, allowing the decoder to read and write to memory beyond allocated buffers.

Record
UBUNTU-CVE-2026-5443
CVSS 3.1
9.8 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H
Updated
2026-11-02

Affected products

Affected packages

Affected packages
PackageAffectedFixed
orthanc
Debian:12
All versions, plus listed versions
1.10.1+dfsg-21.10.1+dfsg-2+deb12u11.12.1+dfsg-11.12.1+dfsg-21.12.1+dfsg-3
Show 31 moreShow less
1.12.1+dfsg-41.12.10+dfsg-11.12.10+dfsg-21.12.10+dfsg-31.12.10+dfsg-41.12.10+dfsg-51.12.11+dfsg-11.12.11+dfsg-21.12.11+dfsg-31.12.11+dfsg-41.12.11+dfsg-51.12.11+dfsg-61.12.11+dfsg-71.12.11+dfsg-81.12.2+dfsg-11.12.3+dfsg-11.12.3+dfsg-21.12.4+dfsg-11.12.4+dfsg-21.12.4+dfsg-31.12.4+dfsg-41.12.5+dfsg-11.12.5+dfsg-21.12.6+dfsg-11.12.7+dfsg-11.12.7+dfsg-21.12.7+dfsg-31.12.7+dfsg-41.12.9+dfsg-11.12.9+dfsg-21.13.0+dfsg-1
None known
orthanc
Debian:13
All versions, plus listed versions
1.12.10+dfsg-11.12.10+dfsg-21.12.10+dfsg-31.12.10+dfsg-41.12.10+dfsg-5
Show 12 moreShow less
1.12.11+dfsg-11.12.11+dfsg-21.12.11+dfsg-31.12.11+dfsg-41.12.11+dfsg-51.12.11+dfsg-61.12.11+dfsg-71.12.11+dfsg-81.12.7+dfsg-41.12.9+dfsg-11.12.9+dfsg-21.13.0+dfsg-1
None known
orthanc
Debian:14
before 1.12.10+dfsg-4, plus listed versions
1.12.10+dfsg-11.12.10+dfsg-21.12.10+dfsg-31.12.7+dfsg-41.12.9+dfsg-11.12.9+dfsg-2
1.12.10+dfsg-4
orthanc
Ubuntu:16.04:LTS
All versions, plus listed versions
0.9.4+dfsg-10.9.4+dfsg-20.9.5+dfsg-11.0.0+dfsg-11.0.0+dfsg-1build1
None known
orthanc
Ubuntu:18.04:LTS
All versions, plus listed versions
1.3.0+dfsg-1build11.3.0+dfsg-1build21.3.1+dfsg-11.3.1+dfsg-1build11.3.1+dfsg-1build2
None known
orthanc
Ubuntu:20.04:LTS
All versions, plus listed versions
1.5.7+dfsg-21.5.8+dfsg-21.5.8+dfsg-2ubuntu21.5.8+dfsg-2ubuntu31.5.8+dfsg-2ubuntu41.5.8+dfsg-2ubuntu51.5.8+dfsg-2ubuntu6
None known
orthanc
Ubuntu:22.04:LTS
All versions, plus listed versions
1.9.2+really1.9.1+dfsg-11.9.7+dfsg-3ubuntu11.9.7+dfsg-3ubuntu21.9.7+dfsg-41.9.7+dfsg-51.9.7+dfsg-61.10.0+dfsg-1
None known
orthanc
Ubuntu:24.04:LTS
All versions, plus listed versions
1.12.1+dfsg-31.12.1+dfsg-41.12.1+dfsg-4build11.12.2+dfsg-11.12.2+dfsg-1build31.12.2+dfsg-1build4
None known
orthanc
Ubuntu:25.10
All versions, plus listed versions
1.12.6+dfsg-11.12.7+dfsg-41.12.7+dfsg-4build2
None known
orthanc
Ubuntu:26.10
All versions, plus listed versions
1.12.10+dfsg-21.12.11+dfsg-81.12.11+dfsg-8build1
None known
orthanc
Ubuntu:26.04:LTS
All versions, plus listed versions
1.12.7+dfsg-4build21.12.9+dfsg-21.12.10+dfsg-11.12.10+dfsg-1build11.12.10+dfsg-2
None known

History

History
RecordedChangedSources
first indexedCVE List, EUVD, GitHub Advisories, NVD, OSV

Dates are when Every CVE recorded each change. Upstream dates may differ.

In short

CVE-2026-5443 is a critical vulnerability (CVSS 9.8) in Orthanc Dicom Server, published April 9, 2026. No source lists public exploit code. EPSS puts the chance of exploitation in the next 30 days at 0.58%, the 47th percentile. Fixed in orthanc 1.12.10+dfsg-4.

References

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