CVE-2026-5445 | Out-of-Bounds Read in DicomImageDecoder (DecodeLookupTable)

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.

Published: 2026-04-09 Last update: 2026-04-14 Assigner: [email protected] Source: [email protected]
NVD Status：Analyzed，CVE State: published
View at NVD, CVE.org, EUVD

CVE-2026-5445 is rated Moderate Risk (43.2/100): CVSS Critical severity, with low exploitation likelihood (EPSS 0.06%). Review affected assets and schedule remediation.

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-2026-5445

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 2026-04-15 0.02% 0.06% +0.04%
2 2026-04-10 — 0.02% —

Full EPSS history (2 records total)

Common vulnerability scoring system (CVSS) metrics for CVE-2026-5445

CVSS metrics for this CVE.

Base score Version Severity Vector Exploitability Impact Score source
9.1 3.1 CRITICAL
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:H Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network—not just someone sitting at the machine.
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:N)
Nobody has to click “OK” or open a trap file; it can work without a victim helping.
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.
 3.9 5.2 134c704f-9b21-4f2e-91b3-4a467353bcc0

Weakness enumeration for CVE-2026-5445

OS Trackers for CVE-2026-5445

vendor priority summary link
debian not yet assigned CVE-2026-5445 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-2026-5445
ubuntu medium CVE-2026-5445 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-2026-5445

Affected software / configurations for CVE-2026-5445

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

References for CVE-2026-5445

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