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CVE-2019-11687

26
FAUCET Score

CVE-2019-11687 describes a design flaw in the NEMA DICOM Standard (1995-2019b) where the 128-byte preamble of DICOM files can contain executable headers for various operating systems, allowing for the creation of dual-purpose files. This vulnerability carries a CVSS score of 7.8 (High) due to its potential for system-wide compromise, as it allows for malicious code execution if a user is tricked into running a specially crafted DICOM file. While there is no known active exploitation or public exploit code (Metasploit, Nuclei, ExploitDB), the vulnerability has garnered community discussion and media coverage, highlighting its potential risk within healthcare environments.

Impacted Technologies

VendorProductVersion(s)CPE
>= 1995, <= 2019bCPE matchmatch criteria
cpe:2.3:a:nema:dicom_standard:*:*:*:*:*:*:*:*

CVSS Data

CVSS version used by this source: 3.0

7.8HIGH

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

Attack Vector
LOCAL
Attack Complexity
LOW
Privileges Required
NONE
User Interaction
REQUIRED
Scope
UNCHANGED
Confidentiality Impact
HIGH
Integrity Impact
HIGH
Availability Impact
HIGH
Exploitability Score
1.8
Impact Score
5.9
CvssVersion
3.0

Exploit Intelligence

EPSS Score
2.77%
Probability of exploitation in next 30 days
EPSS Percentile
84.8%
Percentile rank of EPSS score among Peer Group
As of 2026-07-27
Model: v2026.06.15
This CVE's current EPSS score of 0.0277 is in the 85th percentile among its peer group of 11,617 CVEs.

Social Chatter

The average CVE in this peer group has 0.0 Twitter, 0.1 Reddit, 0.1 Bluesky, 0.0 Mastodon, and 0.2 GitHub mentions.

Media Mentions

The average CVE in this peer group has 0.3 InfoSec Media, 0.0 Vendor Blog, and 0.0 Security Researcher mentions.

Remediation

Remediation records are not available for this CVE.

References

github.com / d00rt/pedicom
ExploitThird Party Advisory
github.com / d00rt/pedicom/blob/master/doc/Attacking_Digital_Imaging_and_Communication_in_Medicine_%28DICOM%29_file_format_standard_-_Markel_Picado_Ortiz_%28d00rt%29.pdf
labs.cylera.com / 2019.04.16/pe-dicom-medical-malware
ExploitTechnical DescriptionThird Party Advisory
praetorian.com / blog/elfdicom-poc-malware-polyglot-exploiting-linux-based-medical-devices
securityfocus.com / bid/108730