CVE-2026-5441

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

Published Apr 9, 2026 CVSS 3.1 · 7.1 High EPSS < 1% KEV · Not listed
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.

Remediation

No solution or workaround provided in the CVE record

Tracking

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Advisories

No advisories available
History
Type Values Removed Values Added
Weaknesses CWE-20
Type Values Removed Values Added
First Time appeared Orthanc-server
Orthanc-server orthanc
CPEs cpe:2.3:a:orthanc-server:orthanc:*:*:*:*:*:*:*:*
Vendors & Products Orthanc-server
Orthanc-server orthanc
Type Values Removed Values Added
Metrics cvssV3_1

{'score': 7.1, 'vector': 'CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:N/A:H'}

ssvc

{'options': {'Automatable': 'no', 'Exploitation': 'none', 'Technical Impact': 'partial'}, 'version': '2.0.3'}

Type Values Removed Values Added
Weaknesses CWE-125
CWE-20
Type Values Removed Values Added
First Time appeared Orthanc
Orthanc dicom Server
Vendors & Products Orthanc
Orthanc dicom Server
Type Values Removed Values Added
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.
Title Out-of-Bounds Read in DicomImageDecoder (PMSCT_RLE1 Decompression)
References
Weaknesses

Sources

Status
PUBLISHED
Assigner
certcc
Published
Updated
Apr 14, 2026, 4:35 PM
Reserved
Apr 2, 2026, 7:22 PM
Status
Analyzed
Published
Apr 9, 2026, 3:16 PM
Modified
Oct 26, 2026, 9:10 PM