CVE-2026-5442
Heap Buffer Overflow in DICOM Image Decoder via VR UL Dimensions
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.
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
What each source reports
CVE List Score used
Heap Buffer Overflow in DICOM Image Decoder via VR UL Dimensions
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.
- Record
CVE-2026-5442- CVSS 3.1
- 9.8 Critical
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H - Updated
- 2026-11-02
EUVDEUVD-2026-20920
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.
- Record
EUVD-2026-20920- CVSS 3.1
- 9.8 Critical
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H - Updated
- 2026-11-02
GitHub AdvisoriesGHSA-f2m7-r4gw-p642
A heap buffer overflow vulnerability exists in the DICOM image decoder. Dimension fields are...
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.
- Record
GHSA-f2m7-r4gw-p642- CVSS 3.1
- 9.8 Critical
CVSS: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
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.
- Record
CVE-2026-5442- CVSS 3.1
- 9.8 Critical
CVSS: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-2026-5442
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.
- Record
DEBIAN-CVE-2026-5442- CVSS 3.1
- 9.8 Critical
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H - Updated
- 2026-11-02
OSVUBUNTU-CVE-2026-5442
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.
- Record
UBUNTU-CVE-2026-5442- CVSS 3.1
- 9.8 Critical
CVSS: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
| Package | Affected | Fixed |
|---|---|---|
orthancDebian: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 less1.12.1+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 |
orthancDebian: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 less1.12.11+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 |
orthancDebian: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 |
orthancUbuntu: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 |
orthancUbuntu: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 |
orthancUbuntu: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 |
orthancUbuntu: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 |
orthancUbuntu: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 |
orthancUbuntu:25.10 |
All versions, plus listed versions 1.12.6+dfsg-11.12.7+dfsg-41.12.7+dfsg-4build2 |
None known |
orthancUbuntu:26.10 |
All versions, plus listed versions 1.12.10+dfsg-21.12.11+dfsg-81.12.11+dfsg-8build1 |
None known |
orthancUbuntu: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
| Recorded | Changed | Sources |
|---|---|---|
| first indexed | CVE List, EUVD, GitHub Advisories, NVD, OSV |
Dates are when Every CVE recorded each change. Upstream dates may differ.
In short
CVE-2026-5442 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 0.61%, the 49th percentile. Fixed in orthanc 1.12.10+dfsg-4.