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CVE-2026-5445

Out-of-Bounds Read in DicomImageDecoder (DecodeLookupTable)

9.1 CriticalFix available

An out-of-bounds read vulnerability exists in the DecodeLookupTable function within DicomImageDecoder.cpp. The lookup-table decoding logic used for PALETTE COLOR images does not validate pixel indices against the lookup table size. Crafted images containing indices larger than the palette size cause the decoder to read beyond allocated lookup table memory and expose heap contents in the output image.

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
None
Availability
High

Exploit likelihood

0.68%Up 0.7 points since Apr 10, 2026
90%50%10%1%

What each source reports

CVE List Score used 9.1

Out-of-Bounds Read in DicomImageDecoder (DecodeLookupTable)

An out-of-bounds read vulnerability exists in the DecodeLookupTable function within DicomImageDecoder.cpp. The lookup-table decoding logic used for PALETTE COLOR images does not validate pixel indices against the lookup table size. Crafted images containing indices larger than the palette size cause the decoder to read beyond allocated lookup table memory and expose heap contents in the output image.

Record
CVE-2026-5445
CVSS 3.1
9.1 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:H
Updated
2026-11-02
EUVDEUVD-2026-20926 9.1

An out-of-bounds read vulnerability exists in the DecodeLookupTable function within DicomImageDecoder.cpp. The lookup-table decoding logic used for PALETTE COLOR images does not validate pixel indices against the lookup table size. Crafted images containing indices larger than the palette size cause the decoder to read beyond allocated lookup table memory and expose heap contents in the output image.

Record
EUVD-2026-20926
CVSS 3.1
9.1 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:H
Updated
2026-11-02
GitHub AdvisoriesGHSA-g69c-6pfv-54p9 9.1

An out-of-bounds read vulnerability exists in the `DecodeLookupTable` function within ...

An out-of-bounds read vulnerability exists in the DecodeLookupTable function within DicomImageDecoder.cpp. The lookup-table decoding logic used for PALETTE COLOR images does not validate pixel indices against the lookup table size. Crafted images containing indices larger than the palette size cause the decoder to read beyond allocated lookup table memory and expose heap contents in the output image.

Record
GHSA-g69c-6pfv-54p9
CVSS 3.1
9.1 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:H
Weakness
CWE-125
Updated
2026-11-02
NVD 9.1

An out-of-bounds read vulnerability exists in the DecodeLookupTable function within DicomImageDecoder.cpp. The lookup-table decoding logic used for PALETTE COLOR images does not validate pixel indices against the lookup table size. Crafted images containing indices larger than the palette size cause the decoder to read beyond allocated lookup table memory and expose heap contents in the output image.

Record
CVE-2026-5445
CVSS 3.1
9.1 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:H
Weakness
CWE-125
Updated
2026-11-02
OSVDEBIAN-CVE-2026-5445 9.1

An out-of-bounds read vulnerability exists in the DecodeLookupTable function within DicomImageDecoder.cpp. The lookup-table decoding logic used for PALETTE COLOR images does not validate pixel indices against the lookup table size. Crafted images containing indices larger than the palette size cause the decoder to read beyond allocated lookup table memory and expose heap contents in the output image.

Record
DEBIAN-CVE-2026-5445
CVSS 3.1
9.1 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:H
Updated
2026-11-02
OSVUBUNTU-CVE-2026-5445 9.1

An out-of-bounds read vulnerability exists in the DecodeLookupTable function within DicomImageDecoder.cpp. The lookup-table decoding logic used for PALETTE COLOR images does not validate pixel indices against the lookup table size. Crafted images containing indices larger than the palette size cause the decoder to read beyond allocated lookup table memory and expose heap contents in the output image.

Record
UBUNTU-CVE-2026-5445
CVSS 3.1
9.1 CriticalCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/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-2026-5445 is a critical vulnerability (CVSS 9.1) 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 0.68%, the 52nd percentile. Fixed in orthanc 1.12.10+dfsg-4.

References

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