CVE-2019-11687: An issue was discovered in the DICOM Part 10 File Format in the NEMA DICOM Standard 1995 through 2019b and continuing in current implementations.

An issue was discovered in the DICOM Part 10 File Format in the NEMA DICOM Standard 1995 through 2019b and continuing in current implementations.

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 requireme

Description from the National Vulnerability Database, published by MITRE

What it means for a small business

If your business uses Dicom Standard, install the vendor's update. If you're not sure whether you use it, ask whoever manages your computers.

How likely is an attack? The Exploit Prediction Scoring System, run by FIRST (the global association of security response teams), puts the odds of this one being exploited in the next 30 days at 2.8%, higher than 86% of CVEs. That’s above average: worth scheduling this week. Scored October 31, 2026, updated daily.

Check your own setup

Website check: reads what your site runs from the outside (WordPress version, plugins it can see, old server software) and matches it against this database.
Server check: what your web server says about itself, and whether that version has known flaws.

Sources

Part of the Huttenlocher Technologies vulnerability database, refreshed twice a day from CISA and the NVD. The title, category and plain-language guidance are ours; check the linked record before acting on a detail. This is general guidance, not a review of your systems.

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