{
  "document": {
    "acknowledgments": [
      {
        "names": [
          "Abhinav Agarwal"
        ],
        "summary": "reported these vulnerabilities to CISA"
      }
    ],
    "category": "csaf_security_advisory",
    "csaf_version": "2.0",
    "distribution": {
      "text": "Disclosure is not limited",
      "tlp": {
        "label": "WHITE",
        "url": "https://www.cisa.gov/news-events/news/traffic-light-protocol-tlp-definitions-and-usage"
      }
    },
    "lang": "en-US",
    "notes": [
      {
        "category": "legal_disclaimer",
        "text": "This product is provided subject to this Notification (https://www.cisa.gov/notification) and this Privacy & Use policy (https://www.cisa.gov/privacy-policy).",
        "title": "Legal Notice and Terms of Use"
      },
      {
        "category": "summary",
        "text": "Successful exploitation of these vulnerabilities could allow an attacker to delete stored medical images, disclose patient information, inject forged studies, reassign patient records, overwrite files, and cause a denial-of-service condition.",
        "title": "Advisory Summary"
      },
      {
        "category": "other",
        "text": "Healthcare and Public Health",
        "title": "Critical infrastructure sectors"
      },
      {
        "category": "other",
        "text": "Worldwide",
        "title": "Countries/areas deployed"
      },
      {
        "category": "other",
        "text": "Austria",
        "title": "Company headquarters location"
      },
      {
        "category": "general",
        "text": "CISA recommends users take defensive measures to minimize the risk of exploitation of these vulnerabilities.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "Minimize network exposure for all control system devices and/or systems, ensuring they are not accessible from the internet.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "Locate control system networks and remote devices behind firewalls and isolating them from business networks.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "When remote access is required, use more secure methods, such as Virtual Private Networks (VPNs), recognizing VPNs may have vulnerabilities and should be updated to the most current version available. Also recognize VPN is only as secure as the connected devices.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "CISA reminds organizations to perform proper impact analysis and risk assessment prior to deploying defensive measures.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "CISA also provides a section for control systems security recommended practices on the ICS webpage on cisa.gov/ics. Several CISA products detailing cyber defense best practices are available for reading and download, including Improving Industrial Control Systems Cybersecurity with Defense-in-Depth Strategies.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "CISA encourages organizations to implement recommended cybersecurity strategies for proactive defense of ICS assets.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "Additional mitigation guidance and recommended practices are publicly available on the ICS webpage at cisa.gov/ics in the technical information paper, ICS-TIP-12-146-01B--Targeted Cyber Intrusion Detection and Mitigation Strategies.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "Organizations observing suspected malicious activity should follow established internal procedures and report findings to CISA for tracking and correlation against other incidents.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "CISA also recommends users take the following measures to protect themselves from social engineering attacks:",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "Do not click web links or open attachments in unsolicited email messages.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "Refer to Recognizing and Avoiding Email Scams for more information on avoiding email scams.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "Refer to Avoiding Social Engineering and Phishing Attacks for more information on social engineering attacks.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "No known public exploitation specifically targeting these vulnerabilities has been reported to CISA at this time.",
        "title": "Recommended Practices"
      }
    ],
    "publisher": {
      "category": "coordinator",
      "contact_details": "central@cisa.dhs.gov",
      "name": "CISA",
      "namespace": "https://www.cisa.gov/"
    },
    "references": [
      {
        "category": "self",
        "summary": "ICS Advisory ICSMA-26-288-02 JSON",
        "url": "https://raw.githubusercontent.com/cisagov/CSAF/develop/csaf_files/OT/white/2026/icsma-26-288-02.json"
      },
      {
        "category": "self",
        "summary": "ICSA Advisory ICSMA-26-288-02 - Web Version",
        "url": "https://www.cisa.gov/news-events/ics-medical-advisories/icsma-26-288-02"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/uscert/ics/alerts/ICS-ALERT-10-301-01"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/resources-tools/resources/ics-recommended-practices"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/sites/default/files/publications/Cybersecurity_Best_Practices_for_Industrial_Control_Systems.pdf"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/topics/industrial-control-systems"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/uscert/sites/default/files/publications/emailscams0905.pdf"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/uscert/ncas/tips/ST04-014"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/news-events/ics-alerts/ics-alert-10-301-01"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/sites/default/files/recommended_practices/NCCIC_ICS-CERT_Defense_in_Depth_2016_S508C.pdf"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/news-events/news/targeted-cyber-intrusion-detection-and-mitigation-strategies-update-b"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/secure-our-world/teach-employees-avoid-phishing"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/news-events/news/avoiding-social-engineering-and-phishing-attacks"
      }
    ],
    "title": "J4Care dcm4che",
    "tracking": {
      "current_release_date": "2026-10-15T06:00:00.000000Z",
      "generator": {
        "date": "2026-10-14T20:45:38.681827Z",
        "engine": {
          "name": "CISA CSAF Generator",
          "version": "1.0.0"
        }
      },
      "id": "ICSMA-26-288-02",
      "initial_release_date": "2026-10-15T06:00:00.000000Z",
      "revision_history": [
        {
          "date": "2026-10-15T06:00:00.000000Z",
          "legacy_version": "Initial",
          "number": "1",
          "summary": "Initial Publication"
        }
      ],
      "status": "final",
      "version": "1"
    }
  },
  "product_tree": {
    "branches": [
      {
        "branches": [
          {
            "branches": [
              {
                "category": "product_version",
                "name": "5.35.1",
                "product": {
                  "name": "J4Care dcm4chee-arc-light: 5.35.1",
                  "product_id": "CSAFPID-0001"
                }
              }
            ],
            "category": "product_name",
            "name": "dcm4chee-arc-light"
          }
        ],
        "category": "vendor",
        "name": "J4Care"
      }
    ]
  },
  "vulnerabilities": [
    {
      "cve": "CVE-2026-97851",
      "cwe": {
        "id": "CWE-862",
        "name": "Missing Authorization"
      },
      "notes": [
        {
          "category": "summary",
          "text": "The storage status-change REST service allows location records still associated with DICOM instances to be changed to deletion-related states. Changing a location to TO_DELETE causes PurgeStorageScheduler to delete the referenced object from storage even though the corresponding instance record remains in the database.",
          "title": "Vulnerability Summary"
        },
        {
          "category": "details",
          "text": "SSVCv2/E:N/A:Y/2026-10-14T06:00:00.000000Z",
          "title": "SSVC"
        }
      ],
      "product_status": {
        "known_affected": [
          "CSAFPID-0001"
        ]
      },
      "references": [
        {
          "category": "external",
          "summary": "cwe.mitre.org",
          "url": "https://cwe.mitre.org/data/definitions/862.html"
        },
        {
          "category": "external",
          "summary": "www.cve.org",
          "url": "https://www.cve.org/CVERecord?id=CVE-2026-97851"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/3.1#CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:H/A:H"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/4.0#CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:N/VI:H/VA:H/SC:N/SI:N/SA:N"
        }
      ],
      "remediations": [
        {
          "category": "mitigation",
          "details": "J4Care has provided a fix for the vulnerabilities. J4Care recommends users implement release 5.35.2 or later.",
          "product_ids": [
            "CSAFPID-0001"
          ]
        }
      ],
      "scores": [
        {
          "cvss_v3": {
            "baseScore": 9.1,
            "baseSeverity": "CRITICAL",
            "vectorString": "CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:H/A:H",
            "version": "3.1"
          },
          "products": [
            "CSAFPID-0001"
          ]
        }
      ]
    },
    {
      "cve": "CVE-2026-107621",
      "cwe": {
        "id": "CWE-835",
        "name": "Loop with Unreachable Exit Condition ('Infinite Loop')"
      },
      "notes": [
        {
          "category": "summary",
          "text": "JPEGParser can enter an infinite loop while parsing a specially crafted or truncated stream.",
          "title": "Vulnerability Summary"
        },
        {
          "category": "details",
          "text": "SSVCv2/E:N/A:Y/2026-10-14T06:00:00.000000Z",
          "title": "SSVC"
        }
      ],
      "product_status": {
        "known_affected": [
          "CSAFPID-0001"
        ]
      },
      "references": [
        {
          "category": "external",
          "summary": "cwe.mitre.org",
          "url": "https://cwe.mitre.org/data/definitions/835.html"
        },
        {
          "category": "external",
          "summary": "www.cve.org",
          "url": "https://www.cve.org/CVERecord?id=CVE-2026-107621"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/3.1#CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:N/A:H"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/4.0#CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:H/VI:H/VA:H/SC:N/SI:N/SA:N"
        }
      ],
      "remediations": [
        {
          "category": "mitigation",
          "details": "J4Care has provided a fix for the vulnerabilities. J4Care recommends users implement release 5.35.2 or later.",
          "product_ids": [
            "CSAFPID-0001"
          ]
        }
      ],
      "scores": [
        {
          "cvss_v3": {
            "baseScore": 7.5,
            "baseSeverity": "HIGH",
            "vectorString": "CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:N/A:H",
            "version": "3.1"
          },
          "products": [
            "CSAFPID-0001"
          ]
        }
      ]
    },
    {
      "cve": "CVE-2026-105273",
      "cwe": {
        "id": "CWE-835",
        "name": "Loop with Unreachable Exit Condition ('Infinite Loop')"
      },
      "notes": [
        {
          "category": "summary",
          "text": "MP4Parser does not adequately validate MP4 box sizes. A malformed box can cause parsing to make no forward progress and repeatedly process the same input.",
          "title": "Vulnerability Summary"
        },
        {
          "category": "details",
          "text": "SSVCv2/E:N/A:Y/2026-10-14T06:00:00.000000Z",
          "title": "SSVC"
        }
      ],
      "product_status": {
        "known_affected": [
          "CSAFPID-0001"
        ]
      },
      "references": [
        {
          "category": "external",
          "summary": "cwe.mitre.org",
          "url": "https://cwe.mitre.org/data/definitions/835.html"
        },
        {
          "category": "external",
          "summary": "www.cve.org",
          "url": "https://www.cve.org/CVERecord?id=CVE-2026-105273"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/3.1#CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:N/A:H"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/4.0#CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:H/VI:H/VA:H/SC:N/SI:N/SA:N"
        }
      ],
      "remediations": [
        {
          "category": "mitigation",
          "details": "J4Care has provided a fix for the vulnerabilities. J4Care recommends users implement release 5.35.2 or later.",
          "product_ids": [
            "CSAFPID-0001"
          ]
        }
      ],
      "scores": [
        {
          "cvss_v3": {
            "baseScore": 7.5,
            "baseSeverity": "HIGH",
            "vectorString": "CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:N/A:H",
            "version": "3.1"
          },
          "products": [
            "CSAFPID-0001"
          ]
        }
      ]
    },
    {
      "cve": "CVE-2026-101021",
      "cwe": {
        "id": "CWE-407",
        "name": "Inefficient Algorithmic Complexity"
      },
      "notes": [
        {
          "category": "summary",
          "text": "MultipartInputStream performs inefficient boundary matching and unnecessary buffer copying. Crafted multipart input can force excessive boundary comparisons and repeated copying.",
          "title": "Vulnerability Summary"
        },
        {
          "category": "details",
          "text": "SSVCv2/E:N/A:Y/2026-10-14T06:00:00.000000Z",
          "title": "SSVC"
        }
      ],
      "product_status": {
        "known_affected": [
          "CSAFPID-0001"
        ]
      },
      "references": [
        {
          "category": "external",
          "summary": "cwe.mitre.org",
          "url": "https://cwe.mitre.org/data/definitions/407.html"
        },
        {
          "category": "external",
          "summary": "www.cve.org",
          "url": "https://www.cve.org/CVERecord?id=CVE-2026-101021"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/3.1#CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:N/A:H"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/4.0#CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:N/VI:N/VA:H/SC:N/SI:N/SA:N"
        }
      ],
      "remediations": [
        {
          "category": "mitigation",
          "details": "J4Care has provided a fix for the vulnerabilities. J4Care recommends users implement release 5.35.2 or later.",
          "product_ids": [
            "CSAFPID-0001"
          ]
        }
      ],
      "scores": [
        {
          "cvss_v3": {
            "baseScore": 7.5,
            "baseSeverity": "HIGH",
            "vectorString": "CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:N/A:H",
            "version": "3.1"
          },
          "products": [
            "CSAFPID-0001"
          ]
        }
      ]
    },
    {
      "cve": "CVE-2026-105279",
      "cwe": {
        "id": "CWE-306",
        "name": "Missing Authentication for Critical Function"
      },
      "notes": [
        {
          "category": "summary",
          "text": "In the default configuration, the archive accepts DICOM associations from an unregistered calling AE. A remote peer can use C-FIND and C-GET to enumerate and retrieve patient information and medical images. It can also use C-STORE to file fabricated study content under an existing patient identity.",
          "title": "Vulnerability Summary"
        },
        {
          "category": "details",
          "text": "SSVCv2/E:N/A:Y/2026-10-14T06:00:00.000000Z",
          "title": "SSVC"
        }
      ],
      "product_status": {
        "known_affected": [
          "CSAFPID-0001"
        ]
      },
      "references": [
        {
          "category": "external",
          "summary": "cwe.mitre.org",
          "url": "https://cwe.mitre.org/data/definitions/306.html"
        },
        {
          "category": "external",
          "summary": "www.cve.org",
          "url": "https://www.cve.org/CVERecord?id=CVE-2026-105279"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/3.1#CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:N"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/4.0#CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:H/VI:H/VA:N/SC:N/SI:N/SA:N"
        }
      ],
      "remediations": [
        {
          "category": "mitigation",
          "details": "J4Care has provided a fix for the vulnerabilities. J4Care recommends users implement release 5.35.2 or later.",
          "product_ids": [
            "CSAFPID-0001"
          ]
        }
      ],
      "scores": [
        {
          "cvss_v3": {
            "baseScore": 9.1,
            "baseSeverity": "CRITICAL",
            "vectorString": "CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:N",
            "version": "3.1"
          },
          "products": [
            "CSAFPID-0001"
          ]
        }
      ]
    },
    {
      "cve": "CVE-2026-105667",
      "cwe": {
        "id": "CWE-306",
        "name": "Missing Authentication for Critical Function"
      },
      "notes": [
        {
          "category": "summary",
          "text": "In the default configuration, the HL7 listener accepts ADT^A40 patient-merge messages without authenticating the sending application. A remote sender can reassign studies and related workflow records from one patient identity to another. The archive's unmerge does not reverse this.",
          "title": "Vulnerability Summary"
        },
        {
          "category": "details",
          "text": "SSVCv2/E:N/A:Y/2026-10-14T06:00:00.000000Z",
          "title": "SSVC"
        }
      ],
      "product_status": {
        "known_affected": [
          "CSAFPID-0001"
        ]
      },
      "references": [
        {
          "category": "external",
          "summary": "cwe.mitre.org",
          "url": "https://cwe.mitre.org/data/definitions/306.html"
        },
        {
          "category": "external",
          "summary": "www.cve.org",
          "url": "https://www.cve.org/CVERecord?id=CVE-2026-105667"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/3.1#CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:H/A:N"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/4.0#CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:N/VI:H/VA:N/SC:N/SI:N/SA:N"
        }
      ],
      "remediations": [
        {
          "category": "mitigation",
          "details": "J4Care has provided a fix for the vulnerabilities. J4Care recommends users implement release 5.35.2 or later.",
          "product_ids": [
            "CSAFPID-0001"
          ]
        }
      ],
      "scores": [
        {
          "cvss_v3": {
            "baseScore": 7.5,
            "baseSeverity": "HIGH",
            "vectorString": "CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:H/A:N",
            "version": "3.1"
          },
          "products": [
            "CSAFPID-0001"
          ]
        }
      ]
    }
  ]
}