Buffer overflow in Orthanc Dicom Server

CVE-2026-5444

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.

Vulnerability class: Buffer Overflow

Published · last modified .

CVSS v3 metric

CVSS v3 base score 7.1 (High). Vector: CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:N/I:H/A:H.

EPSS exploit prediction

EPSS: 0.002 (5.4th percentile), scored .

Very low probability of exploitation in the next 30 days; routine patching cadence is appropriate. 5th percentile — 5.4% of CVEs in the catalogue have a lower EPSS than this one. How to read EPSS.

EPSS trend (30 days)EPSS over the last 30 days for CVE-2026-5444: held from 0.002 to 0.002.

EPSS over last 30 days · oldest: 0.002 · newest: 0.002 · change: -0.001

Affected products

Weakness classification (CWE)

References

Frequently asked questions

What is CVE-2026-5444?
CVE-2026-5444 is a high-severity vulnerability in Orthanc Dicom Server, classified under Out-of-bounds Write. CVSS score: 7.1/10. Published 2026-04-09.
How severe is CVE-2026-5444?
High severity. CVSS v3 base score is 7.1 out of 10.