CVE-2021-45465

7.8 HIGH

📋 TL;DR

This vulnerability in syngo fastView allows attackers to execute arbitrary code by exploiting improper BMP file parsing. All versions of syngo fastView are affected, potentially compromising medical imaging systems. Attackers could gain control of affected systems through specially crafted BMP files.

💻 Affected Systems

Products:
  • syngo fastView
Versions: All versions
Operating Systems: Windows-based medical imaging systems
Default Config Vulnerable: ⚠️ Yes
Notes: Affects medical imaging systems in healthcare environments. Critical infrastructure requiring immediate attention.

📦 What is this software?

⚠️ Manual Verification Required

This CVE does not have specific version information in our database, so automatic vulnerability detection cannot determine if your system is affected.

Why? The CVE database entry doesn't specify which versions are vulnerable (no version ranges provided by the vendor/NVD).

🔒 Custom verification scripts are available for registered users. Sign up free to download automated test scripts.

Recommended Actions:
  1. Review the CVE details at NVD
  2. Check vendor security advisories for your specific version
  3. Test if the vulnerability is exploitable in your environment
  4. Consider updating to the latest version as a precaution

⚠️ Risk & Real-World Impact

🔴

Worst Case

Full system compromise with attacker gaining complete control over the medical imaging system, potentially accessing patient data or disrupting critical healthcare operations.

🟠

Likely Case

Local privilege escalation or remote code execution leading to data theft, system manipulation, or ransomware deployment on affected medical devices.

🟢

If Mitigated

Limited impact with proper network segmentation and file validation controls preventing malicious BMP files from reaching vulnerable systems.

🌐 Internet-Facing: MEDIUM
🏢 Internal Only: HIGH

🎯 Exploit Status

Public PoC: ✅ No
Weaponized: UNKNOWN
Unauthenticated Exploit: ⚠️ Yes
Complexity: MEDIUM

Exploitation requires delivering a malicious BMP file to the vulnerable application. No public exploit code available at this time.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: Contact Siemens Healthineers for specific patch information

Vendor Advisory: https://www.siemens-healthineers.com/en-us/support-documentation/cybersecurity/shsa-688797

Restart Required: Yes

Instructions:

1. Contact Siemens Healthineers support for patch availability
2. Apply the provided security update following vendor instructions
3. Restart affected systems after patch application
4. Verify patch installation through version checking

🔧 Temporary Workarounds

Restrict BMP file processing

all

Block or restrict processing of BMP files in syngo fastView through application configuration or external controls

Network segmentation

all

Isolate syngo fastView systems from untrusted networks and implement strict file transfer controls

🧯 If You Can't Patch

  • Implement strict file validation controls to reject suspicious BMP files
  • Deploy application whitelisting to prevent unauthorized code execution

🔍 How to Verify

Check if Vulnerable:

Check syngo fastView version and compare against vendor advisory. Systems running any version are vulnerable.

Check Version:

Check application version through syngo fastView interface or system documentation

Verify Fix Applied:

Verify patch installation through vendor-provided verification tools or version checking against patched versions.

📡 Detection & Monitoring

Log Indicators:

  • Unusual BMP file processing errors
  • Application crashes when handling image files
  • Suspicious file upload attempts to medical imaging systems

Network Indicators:

  • Unexpected file transfers to medical imaging systems
  • Network traffic patterns indicating file upload exploitation attempts

SIEM Query:

Search for application crashes in syngo fastView logs combined with BMP file processing events

🔗 References

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