Osimis Web ViewerApplication · Orthanc Server

CVE-2023-7238

MEDIUM · 6.1 CVSS v3.1 Published 2024-01-23
Mitigation only
No fix yet — a mitigation exists. There is no fixed release. A documented workaround reduces exposure in the meantime.
See remediation →
68/100
Remediation priority · Elevated
Remotely reachable No privileges

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
A XSS payload can be uploaded as a DICOM study and when a user tries to view the infected study inside the Osimis WebViewer the XSS vulnerability gets triggered. If exploited, the attacker will be able to execute arbitrary JavaScript code inside the victim's browser.

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 · high confidence

A stored XSS vulnerability in Osimis WebViewer allows attackers to embed malicious JavaScript payloads within DICOM study metadata. When legitimate users view the infected DICOM studies through the web interface, the XSS payload executes in their browsers, enabling arbitrary JavaScript execution.

MitigationImplement strict input validation and sanitization on DICOM file uploads to strip or neutralize scriptable content, and apply proper output encoding when rendering DICOM metadata in the web viewer.

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

Affected products & versions What the vendor confirmedThe version ranges the vendor confirmed as vulnerable. If your version sits inside a range here, treat yourself as exposed until you have upgraded.

NVD · CPE data
Osimis Web ViewerApplication
Affected:= 1.4.2.0-9d9eff4

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
None
User interaction
Required
Scope
Changed
Confidentiality
Low
Integrity
Low
Availability
None

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

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 if Osimis WebViewer is installed
    Check the Orthanc configuration file (orthanc.json) for the WebViewer plugin section, or query the Orthanc REST API at /plugins. Look for 'Osimis' or 'WebViewer' in the loaded plugins list.
    Affected if The WebViewer plugin is loaded and the version is 1.4.2.0-9d9eff4.
  2. Determine the WebViewer version
    Access the Orthanc WebViewer about page (typically /webviewer/about or /osimis-webviewer), or check the Orthanc logs at startup which list loaded plugins with their versions.
    Affected if The version displayed matches 1.4.2.0-9d9eff4.
  3. Verify the web interface is accessible
    Confirm the Orthanc REST API is responding (try /system) and the WebViewer UI endpoint is reachable (usually /webviewer or /osimis-webviewer).
    Affected if The WebViewer web interface is exposed and available to users.
  4. Inspect DICOM metadata for scriptable content
    Use a DICOM tool (dcmtk, pydicom, or Orthanc's /studies/{id}/metadata) to query DICOM tags in stored studies. Check fields like PatientName (0010,0010), StudyDescription (0008,1030), SeriesDescription (0008,103E), and AccessionNumber (0008,0050) for HTML/script tags or encoded JavaScript patterns.
    Affected if Any DICOM study in the system contains unsanitized script tags or JavaScript payloads in metadata fields that render in the WebViewer.
  5. Check recent upload logs for unvalidated studies
    Review Orthanc upload logs or audit logs for DICOM imports, especially from untrusted sources or anonymous upload endpoints. Look for entries indicating studies were uploaded without prior sanitization.
    Affected if Studies were uploaded by untrusted or anonymous users without evidence of prior DICOM metadata validation.

You are affected if you are running Osimis WebViewer version 1.4.2.0-9d9eff4 AND any DICOM studies with malicious JavaScript payloads in metadata fields are present in your system and accessible through the web viewer.

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.

From vendor data
Mitigation available No clean upgrade yet — mitigate in the meantime
Mitigation

Implement strict input validation and sanitization on DICOM file uploads to strip or neutralize scriptable content, and apply proper output encoding when rendering DICOM metadata in the web viewer.

Fix this in Osimis Web Viewer Scoped from the published advisory
  • Consultation4.0 h
  • Implementation12.0 h
  • Testing6.0 h
  • Review / QA3.0 h
25.0 hours of engineering $4,400
Get help mitigating

An estimate, not a bill — we confirm scope with you before any work starts. Need it this week? Rush from $7,040.

Scan for this in your stack

Free · runs locally
dbcve dependency scanner

Check whether your project pulls in CVE-2023-7238 — or any other known-vulnerable package — straight from your lock files. Free and open source; it runs locally and uploads nothing.

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-2023-7238 in production — separate from our analysis above.

No notes yet

Be the first to add a field note for this CVE — a mitigation you’ve verified, a version caveat, or a link to a working fix. Sign in above to contribute.

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
  • No spam, self-promotion, credentials, or personal data