Summary
Successful exploitation of these vulnerabilities could allow an attacker to delete stored medical images, disclose patient information, inject forged studies, reassign patient records, overwrite files, and cause a denial-of-service condition.
Vulnerabilities 6
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Critical 9.1
J4Care dcm4che Missing Authentication for Critical Function
In the default configuration, the archive accepts DICOM associations from an unregistered calling AE. A remote peer can use C-FIND and C-GET to enumerate and retrieve patient information and medical images. It can also use C-STORE to file fabricated study con…
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Critical 9.1
J4Care dcm4che Missing Authorization
The storage status-change REST service allows location records still associated with DICOM instances to be changed to deletion-related states. Changing a location to TO_DELETE causes PurgeStorageScheduler to delete the referenced object from storage even thou…
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High 7.5
J4Care dcm4che Inefficient Algorithmic Complexity
MultipartInputStream performs inefficient boundary matching and unnecessary buffer copying. Crafted multipart input can force excessive boundary comparisons and repeated copying.
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High 7.5
J4Care dcm4che Loop with Unreachable Exit Condition
MP4Parser does not adequately validate MP4 box sizes. A malformed box can cause parsing to make no forward progress and repeatedly process the same input.
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High 7.5
J4Care dcm4che Missing Authentication for Critical Function
In the default configuration, the HL7 listener accepts ADT^A40 patient-merge messages without authenticating the sending application. A remote sender can reassign studies and related workflow records from one patient identity to another. The archive's unmerge…
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High 7.5
J4Care dcm4che Loop with Unreachable Exit Condition
JPEGParser can enter an infinite loop while parsing a specially crafted or truncated stream.
Revision history
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#1
Initial Publication
References
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ICSA Advisory ICSMA-26-288-02 - Web Version
https://www.cisa.gov/news-events/ics-medical-advisories/icsma-26-288-02
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Recommended Practices
https://www.cisa.gov/uscert/ics/alerts/ICS-ALERT-10-301-01
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Recommended Practices
https://www.cisa.gov/resources-tools/resources/ics-recommended-practices
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Recommended Practices
https://www.cisa.gov/sites/default/files/publications/Cybersecurity_Best_Practices_for_Industrial_Control_Systems.pdf
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Recommended Practices
https://www.cisa.gov/topics/industrial-control-systems
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Recommended Practices
https://www.cisa.gov/uscert/sites/default/files/publications/emailscams0905.pdf
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Recommended Practices
https://www.cisa.gov/uscert/ncas/tips/ST04-014
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Recommended Practices
https://www.cisa.gov/news-events/ics-alerts/ics-alert-10-301-01
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Recommended Practices
https://www.cisa.gov/sites/default/files/recommended_practices/NCCIC_ICS-CERT_Defense_in_Depth_2016_S508C.pdf
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Recommended Practices
https://www.cisa.gov/news-events/news/targeted-cyber-intrusion-detection-and-mitigation-strategies-update-b
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Recommended Practices
https://www.cisa.gov/secure-our-world/teach-employees-avoid-phishing
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Recommended Practices
https://www.cisa.gov/news-events/news/avoiding-social-engineering-and-phishing-attacks