CVE-2019-11687 — An issue was discovered in the DICOM Part 10 File Format in the NEMA DICOM Stand

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 oper

01What is this vulnerability?

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…

02Affected products

No structured affected-product list available — see references below for vendor advisories.

03Active exploitation status

Not currently listed on the CISA Known Exploited Vulnerabilities (KEV) catalog. EPSS is the best forward-looking signal — see the EPSS row above.

04Recommended remediation

• Patch to a fixed version listed in the vendor advisory (see references below).
• Mitigate with WAF rules, network egress filters, or feature flags where the patch is not yet available.
• Hunt historical logs for exploitation indicators — see Detection signatures below.

05Technical details

For the full vendor write-up, exploit chains, and reference implementations, see the references list in section 09.

06Detection signatures

Ask SARA in chat to draft a starting detection for this CVE in your stack of choice.

07Related CVEs

No directly-cited follow-up CVEs in the KB record for this advisory. The references list in section 09 carries the vendor cross-references.

08Timeline

• Published: 2019-05-02T22:29:00.190
• Last modified: 2026-06-02T20:16:23.073

09References

• www.securityfocus.com — http://www.securityfocus.com/bid/108730
• github.com — https://github.com/d00rt/pedicom
• github.com — https://github.com/d00rt/pedicom/blob/master/doc/Attacking_Digital_Imaging_and_C…
• labs.cylera.com — https://labs.cylera.com/2019.04.16/pe-dicom-medical-malware
• www.praetorian.com — https://www.praetorian.com/blog/elfdicom-poc-malware-polyglot-exploiting-linux-b…
• www.securityfocus.com — http://www.securityfocus.com/bid/108730
• github.com — https://github.com/d00rt/pedicom
• github.com — https://github.com/d00rt/pedicom/blob/master/doc/Attacking_Digital_Imaging_and_C…
• labs.cylera.com — https://labs.cylera.com/2019.04.16/pe-dicom-medical-malware