CVE Tools

CVE-2026-5441

Out-of-Bounds Read in DicomImageDecoder (PMSCT_RLE1 Decompression)

No known exploitation. EPSS puts it in the 8th percentile. Fixed in 1.12.11.

Published Updated Sources: CVE.org, NVD

What to do

Find your product and version, then upgrade to the build on the right.

  • Orthanc DICOM ServerAffected: ≤ 1.12.10Upgrade to: after 1.12.10Stated by: CVE record
  • Orthanc-server OrthancAffected: < 1.12.11Upgrade to: 1.12.11Stated by: NVD

Versions as the sources state them. Full version matrix after sign-in

What it is

From the CVE record

An out-of-bounds read vulnerability exists in the `DecodePsmctRle1` function of `DicomImageDecoder.cpp`. The `PMSCT_RLE1` decompression routine, which decodes the proprietary Philips Compression format, does not properly validate escape markers placed near the end of the compressed data stream. A crafted sequence at the end of the buffer can cause the decoder to read beyond the allocated memory region and leak heap data into the rendered image output.

In plain language

No plain-language summary for this CVE yet.

Exploitation

Where each signal puts this CVE on the scale from published to confirmed exploited.

EPSS8th
CISA KEV

Not in the catalog. CISA has not confirmed exploitation.

Public exploits

No public exploit or proof of concept found in the sources we track.

EPSS

0.2% chance of exploitation activity in the next 30 days, which ranks it in the 8th percentile of scored CVEs.

Exploit Prediction Scoring System, FIRST.org. A probability, not a confirmation.

Lifecycle

4 events over 5 days, from the signal feeds we watch.

  1. Record updated
  2. Publishedweakness classified, att&ck mapped

Affected products

Technical detail

CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:N/A:H

Scored 7.1 by NVD.

How it is reached

  • Attack Vector LocalRequires local access to the vulnerable system (e.g. local login, malicious file)
  • Attack Complexity LowNo special conditions — the attack can be reliably reproduced
  • Privileges Required NoneNo authentication required — anyone can exploit this
  • User Interaction RequiredA user must click a link, open a file, or perform some action

Scope

  • Scope UnchangedImpact is limited to the vulnerable component itself

Impact if exploited

  • Confidentiality HighTotal information disclosure — all data in the component is compromised
  • Integrity NoneNo integrity impact
  • Availability HighTotal denial of service — the component is completely unavailable

Weaknesses

ATT&CK techniques

Mapped from the weaknesses above (CWE to ATT&CK), not observed in attacks.

Sources

Watch the software you run.

My Stack ranks new CVEs for your products by real-world exploitation, so the next serious one reaches you without reading every advisory.

We'll flag the next CVE, public exploit or patch for Orthanc, not every advisory.