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Orthanc DICOM Server

Out-of-Bounds Read in DICOM Image Decoder (DecodeLookupTable)

The DICOM image decoder fails to validate that pixel indices are within the bounds of the lookup table size.

This advisory contains limited information during coordinated disclosure. Please check back later for full details.

Authored byVolker Schönefeld, Simon Weber2026-04-02
SeverityMediumCVSS 6.5CVSS 3.1 VectorAV:N/AC:L/PR:L/UI:N/S:U/C:H/I:N/A:NCWECWE-125 (Out-of-bounds Read)ProductOrthanc DICOM ServerAffected VersionsOrthanc <= 1.12.10Fixed In1.12.11CVECVE-2026-5445CERT/CCVU#536588.5

Description

A malicious DICOM image containing out-of-range palette indices can trigger out-of-bounds read from heap memory during image rendering.

Impact

  • Out-of-bounds heap read during image rendering.

Mitigation

Update Orthanc to version 1.12.11 or later.

References

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Who We Are

The security researchers behind this advisory.

Dr. Simon Weber Profile

Dr. rer. nat. Simon Weber

Senior Pentester & MedSec Researcher

I evaluate your SaMD with the same industry-defining security insight I contributed to the BAK MV for the revision of the B3S standard.

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Volker Schönefeld Profile

Dipl.-Inf. Volker Schönefeld

Senior Application Security Expert

As a former CTO and developer turned pentester, I work alongside your team to uncover vulnerabilities and find solutions that fit your architecture.

  • 20+ years as CTO, 50M+ app downloads
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