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CVE-2019-11687

Estado: ModificadaAlta (7.8)—💥 PoC

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 Linux-based systems. This space is left unspecified so that dual-purpose files can be created.

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For example, dual-purpose TIFF/DICOM files are used in digital whole slide imaging applications in medicine. This design flaw enables system-wide compromise as malicious DICOM files are routinely shared between medical devices and hospital systems and transported via removable media for patient care coordination. To exploit this vulnerability, someone must execute the maliciously crafted file. These files can be executable even with the .dcm file extension. Anti-malware configurations at healthcare facilities often ignore medical imagery. DICOM files exist on systems that process protected health information, and successful exploitation could result in violations of regulatory compliance requirements such as HIPAA and FDA postmarket obligations.

CVSS

Probabilidad de explotación (EPSS)

EPSS (Exploit Prediction Scoring System, de FIRST) estima la probabilidad de que una vulnerabilidad sea explotada en 30 días. Complementa a CVSS (impacto) y a CISA KEV (explotación confirmada).

💥 Exploits públicos

Hay código de explotación o plantillas de detección públicos. No es lo mismo que explotación activa confirmada (KEV), pero aumenta el riesgo: parchee con prioridad.

⚠️ Las pruebas de concepto de GitHub no están verificadas: algunas son falsas o contienen malware. No las ejecute nunca fuera de un laboratorio aislado.

Tecnologías afectadas (1)

Nema — Dicom Standard

CWE

Referencias

JSON original (NVD)

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{
  "id": "CVE-2019-11687",
  "cveTags": [],
  "metrics": {
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        "source": "134c704f-9b21-4f2e-91b3-4a467353bcc0",
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          "id": "CVE-2019-11687",
          "role": "CISA Coordinator",
          "options": [
            {
              "exploitation": "none"
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            {
              "automatable": "no"
            },
            {
              "technicalImpact": "total"
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          "version": "2.0.3",
          "timestamp": "2026-06-02T18:24:21.072416Z"
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  "published": "2019-05-02T22:29:00.190",
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      "lang": "en",
      "value": "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 Linux-based systems. This space is left unspecified so that dual-purpose files can be created. For example, dual-purpose TIFF/DICOM files are used in digital whole slide imaging applications in medicine. This design flaw enables system-wide compromise as malicious DICOM files are routinely shared between medical devices and hospital systems and transported via removable media for patient care coordination. To exploit this vulnerability, someone must execute the maliciously crafted file. These files can be executable even with the .dcm file extension. Anti-malware configurations at healthcare facilities often ignore medical imagery. DICOM files exist on systems that process protected health information, and successful exploitation could result in violations of regulatory compliance requirements such as HIPAA and FDA postmarket obligations."
    },
    {
      "lang": "es",
      "value": "Se detectó un problema en el formato de archivo DICOM Part 10 en el estandar NEMA DICOM versión 1995 hasta 2019b. El preámbulo de un archivo DICOM que cumple con esta especificación puede contener el encabezado de un archivo ejecutable, como lo es el malware Portable Executable (PE). Este espacio no se especifica para que se puedan crear archivos de doble propósito. (Por ejemplo, los archivos TIFF/DICOM de doble propósito se usan en imágenes de diapositivas digitales completas para aplicaciones en medicina). Para aprovechar esta vulnerabilidad, alguien debe ejecutar un archivo creado con fines maliciosos que esté codificado en el formato de archivo DICOM Part 10. Los archivos PE/DICOM son ejecutables incluso con la extensión de archivo.dcm. Las configuraciones anti-malware en las instalaciones de salud a menudo ignoran las imágenes médicas. Además, las herramientas antimalware y los procesos comerciales podrían infringir los marcos regulatorios (como HIPAA) al procesar archivos DICOM sospechosos."
    }
  ],
  "lastModified": "2026-06-17T02:13:25.490",
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    {
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        {
          "negate": false,
          "cpeMatch": [
            {
              "criteria": "cpe:2.3:a:nema:dicom_standard:*:*:*:*:*:*:*:*",
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}