CVE intelligence and bounded remediation

CVE-2019-11687 — Nema Dicom Standard security vulnerability

High CVSS 9.3

An 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 requirem…

Severity
High
CVSS
9.3 (2.0)
Published
2019-05-02
CISA KEV
Not currently listed
Ecosystem
windows/system
Weaknesses
CWE-20

Affected products

  • nema / dicom_standard

Matched remediation archetype

General vulnerability remediation

This catalog composition supplies bounded fallback guidance. Explicitly reviewed curated workflows load with the complete record below.

Check exposure

  • Confirm the affected component, deployment paths, reachable interfaces, and enabled features from inventories and configuration, without probing production destructively.
  • Compare the advisory's affected conditions with the repository lockfiles, build manifests, artifacts, and runtime inventory.
  • Identify data sensitivity, trust boundaries, and privilege level for every confirmed affected deployment.

Remediate safely

  • Apply a vendor-supported fix or remove the affected component or feature; record the selected change and its source in the repository.
  • Update direct and transitive dependency locks, generated artifacts, deployment manifests, and asset inventories together.
  • Add a regression test for the documented unsafe condition using inert inputs and preserve rollback instructions.

Authoritative sources

Complete CVE record and remediation plan

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