High severity · published Apr 9, 2026
CVE-2026-5441
Out-of-Bounds Read in DicomImageDecoder (PMSCT_RLE1 Decompression)
7.1
CVSS
0.1%
EPSS
No
On KEV
Description
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.
CVSS vector
CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:N/A:H
Attack vector
Local
Complexity
Low
Privileges
None
User interaction
Required
Confidentiality
High
Integrity
None
Availability
High
Scope
Unchanged
Exploitation
Is it being used?
Exploit prediction (EPSS)0.1% · higher than 3% of CVEs
Exploited in the wildNo evidence yet
CISA KEVNot listed
Ransomware campaign useNot known
Affected products
Which versions
DS
DICOM Server · Orthanc
through 1.12.10 · source: vendor
OR
Orthanc · Orthanc-server
before 1.12.11 · source: NVD
References
NVD
https://nvd.nist.gov/vuln/detail/CVE-2026-5441
CVE.org
https://www.cve.org/CVERecord?id=CVE-2026-5441
Third Party Advisory
https://kb.cert.org/vuls/id/536588
Not Applicable
https://www.machinespirits.de/
Product
https://www.orthanc-server.com/
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