CVE-2022-24056

7.8 HIGH

📋 TL;DR

CVE-2022-24056 is a buffer overflow vulnerability in Sante DICOM Viewer Pro that allows remote code execution when a user opens a malicious J2K image file. Attackers can exploit this to run arbitrary code with the same privileges as the current user. Users of Sante DICOM Viewer Pro 11.8.7.0 are affected.

💻 Affected Systems

Products:
  • Sante DICOM Viewer Pro
Versions: 11.8.7.0
Operating Systems: Windows
Default Config Vulnerable: ⚠️ Yes
Notes: Requires user interaction to open malicious J2K file. No special configuration needed for exploitation.

📦 What is this software?

⚠️ Risk & Real-World Impact

🔴

Worst Case

Complete system compromise with attacker gaining full control of the affected system, potentially leading to data theft, ransomware deployment, or lateral movement within the network.

🟠

Likely Case

Local privilege escalation leading to data exfiltration, installation of malware, or persistence mechanisms on the affected workstation.

🟢

If Mitigated

Limited impact if application runs with minimal privileges, sandboxed, or network segmentation prevents lateral movement.

🌐 Internet-Facing: MEDIUM
🏢 Internal Only: HIGH

🎯 Exploit Status

Public PoC: ✅ No
Weaponized: LIKELY
Unauthenticated Exploit: ✅ No
Complexity: LOW

User interaction required (opening malicious file). Buffer overflow exploitation is well-understood and likely weaponized given the RCE potential.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: 11.8.8.0 or later

Vendor Advisory: https://www.santesoft.com/security-advisories

Restart Required: Yes

Instructions:

1. Download latest version from SanteSoft website. 2. Run installer. 3. Restart system. 4. Verify version is 11.8.8.0 or higher.

🔧 Temporary Workarounds

Disable J2K file association

windows

Remove file association for .j2k files to prevent automatic opening in vulnerable application

reg delete "HKEY_CLASSES_ROOT\.j2k" /f
reg delete "HKEY_CURRENT_USER\Software\Microsoft\Windows\CurrentVersion\Explorer\FileExts\.j2k" /f

Application sandboxing

windows

Run Sante DICOM Viewer in restricted environment to limit damage from exploitation

🧯 If You Can't Patch

  • Implement application allowlisting to prevent execution of unauthorized binaries
  • Deploy endpoint detection and response (EDR) to monitor for exploitation attempts

🔍 How to Verify

Check if Vulnerable:

Check Help > About in Sante DICOM Viewer for version number. If version is 11.8.7.0, system is vulnerable.

Check Version:

Not applicable - check via application GUI

Verify Fix Applied:

Verify version is 11.8.8.0 or higher in Help > About menu.

📡 Detection & Monitoring

Log Indicators:

  • Application crashes with J2K file processing
  • Unusual process spawning from Sante DICOM Viewer

Network Indicators:

  • Outbound connections from Sante DICOM Viewer to unknown IPs
  • DNS requests for suspicious domains

SIEM Query:

process_name:"SanteDICOMViewer.exe" AND (event_id:1000 OR event_id:1001) OR process_parent_name:"SanteDICOMViewer.exe"

🔗 References

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