A memory exhaustion vulnerability exists in ZIP archive processing. Orthanc automatically extracts ZIP archives uploaded to certain endpoints and trusts metadata fields describing the uncompressed size of archived files. An attacker can craft a small ZIP archive containing a forged size value, causing the server to allocate extremely large buffers during extraction.

A gzip decompression bomb vulnerability exists when Orthanc processes HTTP request with Content-Encoding: gzip. The server does not enforce limits on decompressed size and allocates memory based on attacker-controlled compression metadata. A specially crafted gzip payload can trigger excessive memory allocation and exhaust system memory.

A heap buffer overflow vulnerability exists in the PAM image parsing logic. When Orthanc processes a crafted PAM image embedded in a DICOM file, image dimensions are multiplied using 32-bit unsigned arithmetic. Specially chosen values can cause an integer overflow during buffer size calculation, resulting in the allocation of a small buffer followed by a much larger write operation during pixel processing.