CVE-2019-11687

MITRE NVD CVE.ORG JSON API Print: PDF PDF

Summary

CVECVE-2019-11687
StatePUBLISHED
Assignermitre
Source PriorityCVE Program / NVD first with legacy fallback
Published2019-05-02 22:29:00 UTC
Updated2026-06-02 20:16:23 UTC
DescriptionAn issue was discovered in the DICOM Part 10 File Format in the NEMA DICOM Standard 1995 through 2019b and continuing in current implementations. The 128-byte preamble of a DICOM file that complies with this specification can contain arbitrary executable headers for multiple operating systems, including Portable Executable (PE) files for Windows and Executable and Linkable Format (ELF) files for Linux-based systems. This space is left unspecified so that dual-purpose files can be created. For example, dual-purpose TIFF/DICOM files are used in digital whole slide imaging applications in medicine. This design flaw enables system-wide compromise as malicious DICOM files are routinely shared between medical devices and hospital systems and transported via removable media for patient care coordination. To exploit this vulnerability, someone must execute the maliciously crafted file. These files can be executable even with the .dcm file extension. Anti-malware configurations at healthcare facilities often ignore medical imagery. DICOM files exist on systems that process protected health information, and successful exploitation could result in violations of regulatory compliance requirements such as HIPAA and FDA postmarket obligations.

Risk And Classification

Primary CVSS: v3.1 7.8 HIGH from ADP

CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H

EPSS: 0.134150000 probability, percentile 0.943220000 (date 2026-06-02)

Problem Types: CWE-20 | n/a | CWE-20 CWE-20 Improper Input Validation

VersionSourceTypeScoreSeverityVector
3.1ADPDECLARED7.8HIGHCVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H
3.1134c704f-9b21-4f2e-91b3-4a467353bcc0Secondary7.8HIGHCVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H
3.0[email protected]Primary7.8HIGHCVSS:3.0/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H
2.0[email protected]Primary9.3AV:N/AC:M/Au:N/C:C/I:C/A:C

CVSS v3.1 Breakdown

Attack Vector
Local
Attack Complexity
Low
Privileges Required
None
User Interaction
Required
Scope
Unchanged
Confidentiality
High
Integrity
High
Availability
High

CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H

CVSS v3.0 Breakdown

Attack Vector
Local
Attack Complexity
Low
Privileges Required
None
User Interaction
Required
Scope
Unchanged
Confidentiality
High
Integrity
High
Availability
High

CVSS:3.0/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H

CVSS v2.0 Breakdown

Access Vector
Network
Access Complexity
Medium
Authentication
None
Confidentiality
Complete
Integrity
Complete
Availability
Complete

AV:N/AC:M/Au:N/C:C/I:C/A:C

NVD Known Affected Configurations (CPE 2.3)

TypeVendorProductVersionUpdateEditionLanguage
Application Nema Dicom Standard All All All All

Vendor Declared Affected Products

SourceVendorProductVersionPlatforms
CNA Na N/a affected n/a Not specified

References

ReferenceSourceLinkTags
NEMA DICOM Standard CVE-2019-11687 Local Security Bypass Vulnerability af854a3a-2127-422b-91ae-364da2661108 www.securityfocus.com
pedicom/Attacking_Digital_Imaging_and_Communication_in_Medicine_(DICOM)_file_format_standard_-_Markel_Picado_Ortiz_(d00rt).pdf at master · d00rt/pedicom · GitHub af854a3a-2127-422b-91ae-364da2661108 github.com
www.praetorian.com/blog/elfdicom-poc-malware-polyglot-exploiting-linux-based-med... [email protected] www.praetorian.com
HIPAA-Protected Malware? Exploiting DICOM Flaw to Embed Malware in CT/MRI Imagery – Cylera Labs af854a3a-2127-422b-91ae-364da2661108 labs.cylera.com Exploit, Technical Description, Third Party Advisory
GitHub - d00rt/pedicom: Documentation and proofs of concept on the polyglot file PEDICOM (PE executable + DICOM) af854a3a-2127-422b-91ae-364da2661108 github.com Exploit, Third Party Advisory
pedicom/Attacking_Digital_Imaging_and_Communication_in_Medicine_(DICOM)_file_format_standard_-_Markel_Picado_Ortiz_(d00rt).pdf at master · d00rt/pedicom · GitHub MITRE github.com
CVE Program record CVE.ORG www.cve.org canonical
NVD vulnerability detail NVD nvd.nist.gov canonical, analysis
© CVE.report 2026 |

Use of this information constitutes acceptance for use in an AS IS condition. There are NO warranties, implied or otherwise, with regard to this information or its use. Any use of this information is at the user's risk. It is the responsibility of user to evaluate the accuracy, completeness or usefulness of any information, opinion, advice or other content. EACH USER WILL BE SOLELY RESPONSIBLE FOR ANY consequences of his or her direct or indirect use of this web site. ALL WARRANTIES OF ANY KIND ARE EXPRESSLY DISCLAIMED. This site will NOT BE LIABLE FOR ANY DIRECT, INDIRECT or any other kind of loss.

CVE, CWE, and OVAL are registred trademarks of The MITRE Corporation and the authoritative source of CVE content is MITRE's CVE web site. This site includes MITRE data granted under the following license.

Free CVE JSON API cve.report/api

CVE.report and Source URL Uptime Status status.cve.report