pydicom pynetdicom Library

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Summary

Successful exploitation of this vulnerability could allow an unauthenticated attacker to write to arbitrary file paths.

The following versions of pydicom pynetdicom Library are affected:

  • pynetdicom >=v1.0.0|<v3.0.4
CVSS Vendor Equipment Vulnerabilities
v3 9.1 pydicom pydicom pynetdicom Library Improper Limitation of a Pathname to a Restricted Directory (‘Path Traversal’)

Background

  • Critical Infrastructure Sectors: Healthcare and Public Health
  • Countries/Areas Deployed: Worldwide
  • Company Headquarters Location: United States

Vulnerabilities

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CVE-2026-56445

The qrscp application’s C-STORE handler uses a specific instance from attacker-supplied DICOM datasets directly in os.path.join() without sanitization, allowing file writes to arbitrary paths.

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Affected Products

pydicom pynetdicom Library
Vendor:
pydicom
Product Version:
pydicom pynetdicom: >=v1.0.0|<v3.0.4
Product Status:
known_affected
Remediations

Vendor fix
The maintainer of pynetdicom has not responded to requests to work with CISA to mitigate this vulnerability. For update information, refer to the github page https://github.com/pydicom/pynetdicom.
https://github.com/pydicom/pynetdicom

Relevant CWE: CWE-22 Improper Limitation of a Pathname to a Restricted Directory (‘Path Traversal’)


Metrics

CVSS Version Base Score Base Severity Vector String
3.1 9.1 CRITICAL CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:H/A:H
4.0 8.8 HIGH CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:N/VI:H/VA:H/SC:N/SI:N/SA:N

Acknowledgments

  • Simon Weber and Volker Schönefeld of Machine Spirits UG reported this vulnerability to CISA

Legal Notice and Terms of Use

This product is provided subject to this Notification (https://www.cisa.gov/notification) and this Privacy & Use policy (https://www.cisa.gov/privacy-policy).


Recommended Practices

CISA recommends users take defensive measures to minimize the risk of exploitation of this vulnerability.

Minimize network exposure for all control system devices and/or systems, ensuring they are not accessible from the internet.

Locate control system networks and remote devices behind firewalls and isolating them from business networks.

When remote access is required, use more secure methods, such as Virtual Private Networks (VPNs), recognizing VPNs may have vulnerabilities and should be updated to the most current version available. Also recognize VPN is only as secure as the connected devices.

CISA reminds organizations to perform proper impact analysis and risk assessment prior to deploying defensive measures.

CISA also provides a section for control systems security recommended practices on the ICS webpage on cisa.gov/ics. Several CISA products detailing cyber defense best practices are available for reading and download, including Improving Industrial Control Systems Cybersecurity with Defense-in-Depth Strategies.

CISA encourages organizations to implement recommended cybersecurity strategies for proactive defense of ICS assets.

Additional mitigation guidance and recommended practices

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