Authorization Bypass (IDOR)Weakness · CWE-639

CVE-2023-6523

HIGH · 8.8 CVSS v3.1 Published 2024-04-05
Mitigation only
No fix yet — a mitigation exists. There is no fixed release. A documented workaround reduces exposure in the meantime.
See remediation →
94/100
Remediation priority · Urgent
Remotely reachable Zero-click

Official description Straight from the sourceThe vendor's or NVD's own wording, published unedited. Authoritative, but often terse — it says what broke, rarely what to do.

NVD · unedited
Authorization Bypass Through User-Controlled Key vulnerability in ExtremePacs Extreme XDS allows Authentication Abuse. This issue affects Extreme XDS: before 3914.

Technical summary Written by usOur analysis, written from the advisory, the CVSS vector and the affected-version data. It adds context the advisory leaves out, and never invents facts that are not in the source.

dbcve analysis · moderate confidence

This is an authorization bypass vulnerability where an attacker can manipulate a user-controlled key to bypass authentication in ExtremePacs Extreme XDS, a medical imaging/DICOM system. The vulnerability allows authentication abuse through improper validation of user-supplied keys used in authorization decisions.

MitigationUpgrade Extreme XDS to version 3914 or later. Until patched, monitor access logs for unusual authorization patterns and implement additional access controls at the network level.

Verify against the referenced sources before acting — the references below are authoritative for this CVE, this summary is not.

CVSS breakdown How the score is builtThe industry scoring standard. It rates how the flaw is reached, what it takes to exploit, and what an attacker gains — the score is derived from those, not the other way round.

From the vector
Attack vector
Network
Complexity
Low
Privileges
Low
User interaction
None
Scope
Unchanged
Confidentiality
High
Integrity
High
Availability
High

CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H

Am I affected? How to checkSteps we derive from the advisory and the affected-version data, so you can decide whether this CVE reaches your setup. They are a guide, not a scan — your own configuration is the authority.

dbcve checks

Work through these to decide whether this CVE applies to you.

  1. Identify Extreme XDS installation
    Locate the ExtremePacs Extreme XDS installation on the system, typically in program files or a dedicated application directory, or identify if the service is running
    Affected if Extreme XDS medical imaging software is installed
  2. Determine installed version
    Check the installed version of Extreme XDS through the application UI (About section), version file in the installation directory, or system registry
    Affected if Version is earlier than 3914 (versions 3914 and later are patched)
  3. Verify authorization feature is active
    Confirm the authorization module is enabled in the system configuration or settings, as the vulnerability relates to improper validation of user-supplied keys during authorization decisions
    Affected if Authorization feature that processes user-supplied keys is enabled

Environment is affected if Extreme XDS version is earlier than 3914 and the authorization module that validates user-supplied keys is in use

Generated from the published advisory. Verify against your own configuration.

Check your environment

Paste your version and any relevant configuration and it will be compared against the affected criteria above. Do not include secrets or credentials.

AI-assisted, checked against the advisory. Informational, not a guarantee.

Remediation Closing itWhat it takes to close this. Where a vendor fix exists we point at it; where none exists we say so plainly, and can build one. Effort estimates are scoped from the advisory, not from your codebase.

dbcve · scoped
Mitigation available No clean upgrade yet — mitigate in the meantime
Mitigation

Upgrade Extreme XDS to version 3914 or later. Until patched, monitor access logs for unusual authorization patterns and implement additional access controls at the network level.

Recommended fix High confidence

3914

  1. Backup the current ExtremePacs Extreme XDS system and all patient data before proceeding with any upgrade.
  2. Confirm the currently installed version by accessing the system administration interface or checking system documentation.
  3. Download ExtremePacs Extreme XDS version 3914 or later from the official vendor distribution channel.
  4. Review any release notes or migration guides provided with version 3914 for compatibility requirements.
  5. Stop the ExtremePacs Extreme XDS service and ensure no active patient sessions are in progress.
  6. Install the upgrade following the vendor's documented upgrade procedure, typically by running the installer or applying the update package.
  7. Restart the ExtremePacs Extreme XDS service after successful installation.
  8. Verify the installed version is 3914 or later and confirm the vulnerability is resolved.
Caveat Review vendor release notes for version 3914 to check for any breaking changes or required configuration adjustments before upgrading.

Generated from the published advisory — verify against the referenced sources before acting.

Have this fixed Scoped from the published advisory
  • Consultation4.0 h
  • Implementation16.0 h
  • Testing8.0 h
  • Review / QA4.0 h
32.0 hours of engineering $5,600
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Scan for this in your stack

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dbcve dependency scanner

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References Go to the primary sourcePrimary sources — vendor advisories, patches and trackers. Where our summary and a reference disagree, the reference wins.

Primary sources

Practitioner notes

Contributed

Peer-ranked notes from engineers who’ve handled CVE-2023-6523 in production — separate from our analysis above.

No notes yet

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What this is

A place for practitioners to share what actually worked: a mitigation you’ve tested, a configuration change, a version- or environment-specific caveat, or a link to a verified patch. The most useful notes rise to the top as peers upvote them, so the signal stays high.

What belongs here
  • Verified mitigations, workarounds, and config changes
  • Version or environment caveats, and links to real fixes
  • No weaponised exploit code, or anything meant to cause harm
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