CVE-2026-118670
8.8 HIGHpublic exploit availablePublished 2026-11-06 · Updated 2026-11-06
AI risk analysis
- Summary
- The OHIF Viewer's dicom-pdf extension incorrectly uses attacker-controlled MIME type values to render encapsulated PDF documents as HTML blobs, enabling script execution in the OHIF origin. This allows theft of session tokens, storage data, and same-origin PACS requests via malicious DICOM files.
- Exploitability
- Exploitation requires a victim to open a specially crafted DICOM file containing a malicious EncapsulatedDocument with MIME type 'text/html' or similar HTML-capable type; user interaction is required (CVSS UI:R).
- Blast radius
- Successful exploitation grants attackers full access to the victim's OHIF session, including authentication tokens and PACS data, potentially enabling lateral movement within the imaging infrastructure.
- Detection
- No reliable host or network indicator is derivable from the published description.
- Prioritized remediation
- Upgrade to OHIF Viewer versions 3.12.15, 3.13.7, or 3.14.0-beta.19 (or later) to patch the MIME type validation flaw in the dicom-pdf extension.
Analysis generated locally by garnet-coder (no data left the box). AI-assisted — verify against primary sources before acting.
NVD description
OHIF Viewers is a zero-footprint DICOM viewer with shared extension packages. From 3.5.0-beta.0 until 3.12.15, 3.13.7, and 3.14.0-beta.19, the dicom-pdf extension reads the attacker-controlled MIMETypeOfEncapsulatedDocument value in extensions/dicom-pdf/src/getSopClassHandlerModule.js and uses it as the Blob media type for the attacker-controlled EncapsulatedDocument bytes. When a victim opens Encapsulated PDF SOP Class 1.2.840.10008.5.1.4.1.1.104.1, extensions/dicom-pdf/src/viewports/OHIFCornerstonePdfViewport.tsx embeds the Blob URL in an object element. A Blob labeled as HTML is handled as HTML despite the application/pdf object hint, and the Blob inherits the OHIF origin, allowing embedded script to access session storage, authentication tokens, and same-origin PACS requests. The malicious DICOM object may be opened locally, uploaded to a shared PACS, or supplied by a DICOMweb source. This issue is fixed in source versions 3.12.15, 3.13.7, and 3.14.0-beta.19.
CVSS vector
CVSS:3.1/AV:N/AC:L/PR:N/UI:R/S:C/C:H/I:L/A:L
Weaknesses
CWE-79
Public exploit & PoC references
- https://github.com/OHIF/Viewers/commit/db546701bd5f2be9031c835f1de5c40aacd3dc62
- https://github.com/OHIF/Viewers/commit/ef0811c66cdb04ba07ffaba145cf66ce01486899
- https://github.com/OHIF/Viewers/commit/f0dba789a313f40fe7e8a8cbec322a8d8a491d76
- https://github.com/OHIF/Viewers/pull/6228
- https://github.com/OHIF/Viewers/releases/tag/v3.12.15
- https://github.com/OHIF/Viewers/releases/tag/v3.13.7
- https://github.com/OHIF/Viewers/releases/tag/v3.14.0-beta.19
- https://github.com/OHIF/Viewers/security/advisories/GHSA-xwgp-w3pj-q5h3
All references
- https://github.com/OHIF/Viewers/commit/db546701bd5f2be9031c835f1de5c40aacd3dc62
- https://github.com/OHIF/Viewers/commit/ef0811c66cdb04ba07ffaba145cf66ce01486899
- https://github.com/OHIF/Viewers/commit/f0dba789a313f40fe7e8a8cbec322a8d8a491d76
- https://github.com/OHIF/Viewers/pull/6228
- https://github.com/OHIF/Viewers/releases/tag/v3.12.15
- https://github.com/OHIF/Viewers/releases/tag/v3.13.7
- https://github.com/OHIF/Viewers/releases/tag/v3.14.0-beta.19
- https://github.com/OHIF/Viewers/security/advisories/GHSA-xwgp-w3pj-q5h3
Source data: NVD (nvd.nist.gov), public domain. Exploit-DB.ai adds local AI analysis for defensive use only.
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