Description
MedDream PACS Server DICOM File Parsing Stack-based Buffer Overflow Remote Code Execution Vulnerability. This vulnerability allows remote attackers to execute arbitrary code on affected installations of MedDream PACS Server. Authentication is not required to exploit this vulnerability. The specific flaw exists within the parsing of DICOM files. The issue results from the lack of proper validation of the length of user-supplied data prior to copying it to a fixed-length stack-based buffer. An attacker can leverage this vulnerability to execute code in the context of the service account. Was ZDI-CAN-25853.
EPSS Score:
0%
Comprehensive Technical Analysis of EUVD-2025-16098
1. Vulnerability Assessment and Severity Evaluation
The vulnerability EUVD-2025-16098, also known as CVE-2025-3484, is a critical stack-based buffer overflow in the MedDream PACS Server's DICOM file parsing functionality. This flaw allows remote attackers to execute arbitrary code without requiring authentication. The severity of this vulnerability is underscored by its CVSSv3 base score of 9.8, which is classified as critical. The CVSS vector CVSS:3.0/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H indicates the following:
- Attack Vector (AV): Network (N) - The vulnerability is exploitable over the network.
- Attack Complexity (AC): Low (L) - The attack requires minimal skill or resources.
- Privileges Required (PR): None (N) - No authentication is required to exploit the vulnerability.
- User Interaction (UI): None (N) - No user interaction is required for the attack to succeed.
- Scope (S): Unchanged (U) - The vulnerability does not change the security scope.
- Confidentiality (C): High (H) - The vulnerability allows for complete compromise of confidentiality.
- Integrity (I): High (H) - The vulnerability allows for complete compromise of integrity.
- Availability (A): High (H) - The vulnerability allows for complete compromise of availability.
2. Potential Attack Vectors and Exploitation Methods
The primary attack vector involves sending a specially crafted DICOM file to the MedDream PACS Server. The lack of proper validation of the length of user-supplied data allows an attacker to overflow the stack-based buffer, leading to arbitrary code execution. Potential exploitation methods include:
- Remote Code Execution (RCE): An attacker can send a malicious DICOM file to the server, which, when parsed, triggers the buffer overflow and allows the attacker to execute arbitrary code.
- Denial of Service (DoS): By exploiting the buffer overflow, an attacker can cause the server to crash, leading to a denial of service.
- Data Exfiltration: Once arbitrary code execution is achieved, an attacker can exfiltrate sensitive data from the server.
3. Affected Systems and Software Versions
The vulnerability specifically affects MedDream PACS Premium version 7.3.3.840. Other versions of the MedDream PACS Server may also be affected, but this has not been confirmed. Organizations using this software should prioritize patching and mitigation efforts.
4. Recommended Mitigation Strategies
To mitigate the risk associated with this vulnerability, the following strategies are recommended:
- Patch Management: Apply the latest patches and updates provided by MedDream as soon as they are available.
- Network Segmentation: Isolate the PACS Server from other critical systems to limit the potential impact of an exploit.
- Input Validation: Implement additional input validation mechanisms to ensure that DICOM files are properly validated before processing.
- Intrusion Detection Systems (IDS): Deploy IDS to monitor for suspicious activity and potential exploitation attempts.
- Regular Audits: Conduct regular security audits and vulnerability assessments to identify and address similar issues proactively.
5. Impact on European Cybersecurity Landscape
The vulnerability poses a significant risk to healthcare organizations across Europe that rely on MedDream PACS Server for managing medical imaging data. Successful exploitation could lead to unauthorized access to sensitive patient data, disruption of medical services, and potential legal and regulatory consequences. The European Union's General Data Protection Regulation (GDPR) mandates stringent data protection measures, and a breach resulting from this vulnerability could result in substantial fines and reputational damage.
6. Technical Details for Security Professionals
- Vulnerability Type: Stack-based Buffer Overflow
- Affected Component: DICOM File Parsing Functionality
- Root Cause: Lack of proper validation of the length of user-supplied data
- Exploitation: Crafted DICOM files can trigger the buffer overflow, leading to arbitrary code execution
- Mitigation: Implement robust input validation, apply patches, and use network segmentation
- Detection: Monitor for unusual network traffic patterns and anomalies in DICOM file processing
Conclusion
EUVD-2025-16098 is a critical vulnerability that requires immediate attention from healthcare organizations using the MedDream PACS Server. The potential for remote code execution without authentication poses a significant risk to data confidentiality, integrity, and availability. Organizations should prioritize patching, implement robust security controls, and conduct regular audits to mitigate the risk effectively. The European cybersecurity landscape, particularly in the healthcare sector, must remain vigilant against such vulnerabilities to protect sensitive data and ensure the continuity of medical services.