Rule Category

OS-WINDOWS -- Snort has detected traffic targeting vulnerabilities in a Windows-based operating system. This does not include browser traffic or other software on the OS, but attacks against the OS itself. (such as?)

Alert Message

OS-WINDOWS Executable DICOM 10 file download attempt

Rule Explanation

This event is generated when there is a download attempt of a maliciously formatted DICOM file. Impact: Attempted User Privilege Gain Details: It is possible to format a DICOM (Digital Imaging and Communications in Medicine) file as an executable. Ease of Attack:

What To Look For

Known Usage

No public information

False Positives

No known false positives


Cisco Talos Intelligence Group

MITRE ATT&CK Framework



For reference, see the MITRE ATT&CK vulnerability types here:


Additional Links

Rule Vulnerability

CVE Additional Information

An issue was discovered in the DICOM Part 10 File Format in the NEMA DICOM Standard 1995 through 2019b. The preamble of a DICOM file that complies with this specification can contain the header for an executable file, such as Portable Executable (PE) malware. This space is left unspecified so that dual-purpose files can be created. (For example, dual-purpose TIFF/DICOM files are used in digital whole slide imaging for applications in medicine.) To exploit this vulnerability, someone must execute a maliciously crafted file that is encoded in the DICOM Part 10 File Format. PE/DICOM files are executable even with the .dcm file extension. Anti-malware configurations at healthcare facilities often ignore medical imagery. Also, anti-malware tools and business processes could violate regulatory frameworks (such as HIPAA) when processing suspicious DICOM files.
Severity Base Score7.8
Impact Score5.9 Exploit Score1.8
Confidentiality ImpactHIGH Integrity ImpactHIGH
Availability ImpactHIGH Attack VectorLOCAL
Authentication Ease of AccessLOW
Privileges RequiredNONE