CVE-2025-2581

4.3 MEDIUM

📋 TL;DR

An integer underflow vulnerability in xmedcon's DICOM file handler allows remote attackers to potentially cause denial of service or execute arbitrary code by manipulating memory allocation. This affects systems running xmedcon 0.25.0 that process DICOM files from untrusted sources.

💻 Affected Systems

Products:
  • xmedcon
Versions: 0.25.0
Operating Systems: Linux, Unix-like systems
Default Config Vulnerable: ⚠️ Yes
Notes: Vulnerability triggers when processing DICOM files, which is core functionality of xmedcon.

📦 What is this software?

⚠️ Risk & Real-World Impact

🔴

Worst Case

Remote code execution leading to complete system compromise if the integer underflow enables memory corruption that can be weaponized.

🟠

Likely Case

Application crash or denial of service when processing malicious DICOM files, potentially disrupting medical imaging workflows.

🟢

If Mitigated

Limited impact with proper network segmentation and file validation controls in place.

🌐 Internet-Facing: MEDIUM - Remote exploitation is possible but requires specific DICOM file processing scenarios.
🏢 Internal Only: LOW - Internal systems typically process trusted medical imaging data, reducing attack surface.

🎯 Exploit Status

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

Integer underflow vulnerabilities require precise manipulation but remote exploitation is confirmed possible.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: 0.25.1

Vendor Advisory: https://xmedcon.sourceforge.io/Main/New

Restart Required: Yes

Instructions:

1. Download xmedcon 0.25.1 from official source. 2. Uninstall vulnerable version. 3. Install patched version. 4. Restart any services using xmedcon.

🔧 Temporary Workarounds

Restrict DICOM file sources

all

Only allow xmedcon to process DICOM files from trusted, internal sources

Network segmentation

all

Isolate systems running xmedcon from untrusted networks

🧯 If You Can't Patch

  • Implement strict input validation for DICOM files before processing
  • Run xmedcon in sandboxed/containerized environment with limited privileges

🔍 How to Verify

Check if Vulnerable:

Check xmedcon version with 'xmedcon --version' or package manager query

Check Version:

xmedcon --version

Verify Fix Applied:

Confirm version is 0.25.1 or higher and test with known safe DICOM files

📡 Detection & Monitoring

Log Indicators:

  • Unexpected xmedcon process crashes
  • Memory allocation errors in system logs
  • Large number of failed DICOM file processing attempts

Network Indicators:

  • Unusual DICOM file transfers to systems running xmedcon
  • Network connections to xmedcon from untrusted sources

SIEM Query:

process_name:"xmedcon" AND (event_type:crash OR error_message:"malloc" OR error_message:"underflow")

🔗 References

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