Out-of-bounds Read in Orthanc Dicom Server

CVE-2026-5445

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.

Vulnerability class: Buffer Overflow

Published · last modified .

CVSS v3 metric

CVSS v3 base score 9.1 (Critical). Vector: CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:H.

EPSS exploit prediction

EPSS: 0.007 (51.5th percentile), scored .

Very low probability of exploitation in the next 30 days; routine patching cadence is appropriate. 52nd percentile — 51.5% 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-2026-5445: held from 0.008 to 0.007.

EPSS over last 30 days · oldest: 0.008 · newest: 0.007 · change: -0.001

Affected products

Weakness classification (CWE)

References

Frequently asked questions

What is CVE-2026-5445?
CVE-2026-5445 is a critical-severity vulnerability in Orthanc Dicom Server, classified under Out-of-bounds Read. CVSS score: 9.1/10. Published 2026-04-09.
How severe is CVE-2026-5445?
Critical severity. CVSS v3 base score is 9.1 out of 10.