Security readout for executives and security teams
DICOM medical image files can legally include executable-looking content in their 128-byte preamble. A malicious file may appear to be medical imagery but also behave as a Windows or Linux executable if someone runs it. The main business concern is malware entry through trusted healthcare imaging workflows. Exposure is most likely in healthcare environments that receive, store, transfer, or review DICOM files, including PACS, imaging workstations, medical devices, and removable-media exchange workflows. The source bundle does not identify specific affected vendors or patched product versions. Prioritize this for healthcare and medical-imaging environments because it can turn trusted clinical file exchange into a malware path. It is high severity, but urgency should be based on DICOM exposure and execution controls, not confirmed active exploitation. Mitigation focus: Check DICOM software and device vendor guidance for product-specific handling recommendations.; Include DICOM and medical-imaging directories in anti-malware scanning policies.; Treat externally received DICOM files and removable media as untrusted content..
Generated from the cited source records. This long-tail analysis has not been individually reviewed by a named human.
Conservative CVE-to-ATT&CK context
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ATT&CK lookup starting points
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CWE-20: Exact CWE lookup
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Open ATT&CK lookupCVE-2019-11687 mapping review
Open the CVE-to-ATT&CK bridge for reviewed, inferred, or future official mappings tied to this CVE.
Open ATT&CK lookup- Severity
- High
- CVSS
- 7.8 (3.1)
- Known Exploited
- No
- Published
Vector: CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H
CNA and ADP enrichment extracted from CVE v5
These fields come from the CVE record and ADP containers, not from Glexia's Take. They preserve time-varying source decisions such as CISA SSVC, KEV status, CVSS metrics, and provider references.
SSVC decision data
CVSS vector scores
1 official scoreWe collect every scored CVSS vector available in the official CNA and ADP containers. When more than one version is present, the table keeps the source vectors side by side instead of collapsing them into the highest score.
CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H1.85.9CISA-ADPVulnerability scoring details
Base CVSS 3.1 score
7.8HighVector: CVSS:3.1/AV:L/AC:L/PR:N/UI:R/S:U/C:H/I:H/A:H
Vulnerability timeline
Timeline events are normalized from CVE metadata, CNA source timelines, ADP timelines, and KEV metadata when present.
- CVE reservedCVE Program
The CVE ID was reserved by the assigning CNA.
- CVE publishedCVE Program
The CVE record was published.
- CVE updatedCVE Program
The CVE record metadata indicates this as the latest update time.
ADP provider summaries
Source materials
- CVE List V5 sourceCVE List V5
- https://labs.cylera.com/2019.04.16/pe-dicom-medical-malwareCVE reference, mitre
- https://github.com/d00rt/pedicom/blob/master/doc/Attacking_Digital_Imaging_and_Communication_in_Medicine_%28DICOM%29_file_format_standard_-_Markel_Picado_Ortiz_%28d00rt%29.pdfCVE reference, mitre
- https://github.com/d00rt/pedicomCVE reference, mitre
- https://www.praetorian.com/blog/elfdicom-poc-malware-polyglot-exploiting-linux-based-medical-devices/CVE reference, mitre
Products and packages named in the record
CWE details
CWE links open Glexia weakness intelligence pages with official CWE context, developer remediation guidance, and related CVE mappings.
Improper Input Validation
Improper Input Validation represents a recurring weakness pattern that can create exploitable paths when design, validation, or implementation controls are missing.