CVE-2026-5441 | Out-of-Bounds Read in DicomImageDecoder (PMSCT_RLE1 Decompression)

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.

Published: 2026-04-09 Last update: 2026-06-17 Assigner: [email protected] Source: [email protected]
NVD Status：Analyzed，CVE State: published
View at NVD, CVE.org, EUVD

CVE-2026-5441 is rated Low Risk (29.7/100): CVSS High severity, with low exploitation likelihood (EPSS 0.14%). Monitor for updates and reassess as exploit intelligence or EPSS changes.

Risk is dynamic; we continuously reassess and refresh what is shown on this page as upstream context changes.

Exploit prediction scoring system (EPSS) score for CVE-2026-5441

EPSS lead: Daily EPSS estimates relative likelihood of exploitation; percentile ranks this CVE among scored vulnerabilities (higher = more severe relative rank).

# Date Old EPSS score New EPSS score Delta (New - Old)
1 2026-06-15 0.02% 0.14% +0.12%
2 2026-04-10 — 0.02% —

Full EPSS history (2 records total)

Common vulnerability scoring system (CVSS) metrics for CVE-2026-5441

CVSS metrics for this CVE.

Base score Version Severity Vector Exploitability Impact Score source
7.1 3.1 HIGH
CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:N/A:H Click to expand
Attack vector (AV:L)
They already need access on the box, or another person has to do something wrong; it’s not a remote drive-by.
Attack complexity (AC:L)
Once they can reach the bug, pulling it off is straightforward—no weird race conditions or rare setup.
Privileges required (PR:N)
No account or special rights needed—anonymous or random user is enough.
User interaction (UI:R)
A real person has to do something—click, install, enable—otherwise it doesn’t land.
Scope (S:U)
Damage stays in the same “trust bubble” as the broken component—no big spill into unrelated systems.
Confidentiality (C:H)
Serious risk that confidential data gets exposed in a big way.
Integrity (I:N)
Data isn’t meaningfully altered or forged.
Availability (A:H)
Could take the service down hard or make it unusable for people who depend on it.
 1.8 5.2 134c704f-9b21-4f2e-91b3-4a467353bcc0

Weakness enumeration for CVE-2026-5441

OS Trackers for CVE-2026-5441

vendor priority summary link
debian not yet assigned CVE-2026-5441 not yet assigned priority: Debian including 1 source packages (orthanc), 5 status rows across 5 suites (bookworm, bullseye, forky, sid, trixie): open 3, resolved 2. https://security-tracker.debian.org/tracker/CVE-2026-5441
ubuntu medium CVE-2026-5441 medium priority: Ubuntu including 1 source packages (orthanc), 8 status rows across 8 suites (bionic, focal, jammy, noble, questing, resolute, upstream, xenial): needs-triage 8. https://ubuntu.com/security/CVE-2026-5441

Affected software / configurations for CVE-2026-5441

Vendor Product Version Raw CPE
orthanc-server orthanc < 1.12.11 cpe:2.3:a:orthanc-server:orthanc:*:*:*:*:*:*:*:*

References for CVE-2026-5441

URL Tags
https://kb.cert.org/vuls/id/536588 Third Party Advisory VDB Entry
https://www.machinespirits.de/ Not Applicable
https://www.orthanc-server.com/ Product
cvelogic Threat Intelligence