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TI-2026-04767 Aliases CVE-2026-5444GHSA-fpm7-vpjm-5gg2

Heap Buffer Overflow in PAM Image Buffer Allocation

Priority LOW 30CWE-787Published · Updated

Key facts

Attack vector
Local
Privileges required
None
User interaction
Required
Attack complexity
Low
Impact type
—
Confidentiality · integrity · availability
None · High · High
Fix status
No fix listed

Attack profile from CVSS 3.1 · CISA ADP. Fix status from CNA.

Summary

A heap buffer overflow vulnerability exists in the PAM image parsing logic. When Orthanc processes a crafted PAM image embedded in a DICOM file, image dimensions are multiplied using 32-bit unsigned arithmetic. Specially chosen values can cause an integer overflow during buffer size calculation, resulting in the allocation of a small buffer followed by a much larger write operation during pixel processing.

Why it matters now

Exploitation None reported CISA SSVC · not in CISA KEV
EPSS 0.00165 5th percentileScored 2026-11-07
Fix No fix listed No fixed version in the sources yet

SSVC decision points

CISA ADP · SSVC 2.0.3

Exploitation
None
Automatable
No
Technical impact
Partial

The decision (Track, Attend, Act) also depends on your mission and well-being impact; see CISA's SSVC guide.

Affected products

VendorProductAffected versionsFixed inStatusSource
OrthancDICOM Serverup to 1.12.10—No fix listedCNA
  • DICOM Server VendorOrthanc Affected up to 1.12.10 Fixed in — No fix listed CNA

CPE configurations NVD · 1

CPEVersionsRoleVendor
cpe:2.3:a:orthanc-server:orthanc:*:*:*:*:*:*:*:*before 1.12.11VulnerableOrthanc
  • cpe:2.3:a:orthanc-server:orthanc:*:*:*:*:*:*:*:* Versions before 1.12.11 Vulnerable ·Orthanc

Remediation

No fixed version listed by the sources yet.

Timeline

  1. 2026-10-02 Threatist record created from CVE-2026-5444
  2. 2026-10-03 Alias added: GHSA-fpm7-vpjm-5gg2

References

  • TI-2025-00759 Orthanc Server Missing Authentication for Critical Function CVSS 4.0CRITICAL 9.2
  • TI-2026-04766 Heap Buffer Overflow in DICOM Image Decoder (Palette Color Decode) CVSS 3.1CRITICAL 9.8
  • TI-2026-04765 Heap Buffer Overflow in DICOM Image Decoder via VR UL Dimensions CVSS 3.1CRITICAL 9.8
  • TI-2023-16538 Orthanc before 1.12.0 allows authenticated users with access to the Orthanc API to… CVSS 3.1HIGH 8.8
  • TI-2026-04768 Out-of-Bounds Read in DicomImageDecoder (DecodeLookupTable) CVSS 3.1CRITICAL 9.1
  • TI-2026-04763 Memory Exhaustion via Unbounded Content-Length CVSS 3.1HIGH 7.5
See all 11 →

Sources