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HIGH severity

pydicom has a path traversal in FileSet/DICOMDIR ReferencedFileID allows file access outside the File-set rootGHSA-v856-2rf8-9f28

HIGHFix: pydicom/pydicom@6414f01

GHSA-v856-2rf8-9f28 is a high-severity (CVSS 7.8) Path Traversal vulnerability in pydicom. A fix is available for pydicom — see the affected versions and patch details below.

Also known asCVE-2026-32711PYSEC-2026-2266
Published
Updated
Affected
2 pkgs
Patched
2 / 2
Exploits
None indexed
Exploitation data as of Nov 10, 2026 · OSV.dev, NVD, FIRST.org (EPSS)

Exploitation Status

Proof-of-concept exploit code exists

  • CISA’s SSVC triage found public proof-of-concept exploit code for this CVE, though no confirmed active exploitation.
  • A successful exploit gives an attacker total control of the affected component, not partial access.

Exploitation and automatability from CISA’s SSVC triage for GHSA-v856-2rf8-9f28.

EPSS Exploitation Probability

via FIRST.org ↗
0.3%probability of exploitation in next 30 days
Lower Risk+0.01%
Lower risk than most CVEs22th percentile — riskier than 22% of all scored CVEsHighest risk
0.00%0.27%0.53%0.80%0.0%0.3%May 26Sep 26Nov 26

Probability of exploitation in the next 30 days, from FIRST.org EPSS.

How urgent is this, really

Where this sits among everything scored

Real-World Exposure

2 pkgs affected
🐍pydicom🐍pydicom

Real-time download stats are indexed for npm and PyPI packages. This vulnerability affects PyPI packages — download data is not available via public APIs for these ecosystems.

Description

Summary

A crafted DICOMDIR can set ReferencedFileID to a path outside the File-set root. pydicom resolves the path only to confirm that it exists, but does not verify that the resolved path remains under the File-set root. Subsequent public FileSet operations such as copy(), write(), and remove()+write(use_existing=True) use that unchecked path in file I/O operations. This allows arbitrary file read/copy and, in some flows, move/delete outside the File-set root.

Details

Verified on pydicom 3.1.0.dev0.

Relevant logic is in src/pydicom/fileset.py:

  • RecordNode._file_id converts ReferencedFileID directly to Path(...)
  • FileSet.load() checks only (root / file_id).resolve(strict=True) to confirm existence
  • FileSet.load() does not verify that the final resolved path is contained within the File-set root
  • FileInstance.path returns self.file_set.path / self.node._file_id
  • FileSet.copy() uses shutil.copyfile(instance.path, dst)
  • FileSet.write() uses Path(instance.path).unlink() and shutil.move(...)

Because there is no containment check such as resolved.relative_to(root.resolve(strict=True)), a malicious DICOMDIR can reference:

  • absolute paths such as /etc/passwd
  • traversal paths such as ../...
  • syntactically conformant file IDs that escape via symlinks

This is not limited to obviously invalid VR input. Even when pydicom emits warnings for invalid ReferencedFileID values, the operation is not blocked. I also confirmed a symlink-based variant using a conformant file ID.

A realistic server-side scenario is:

  1. a user uploads a DICOM File-set zip
  2. the server loads the uploaded DICOMDIR using FileSet
  3. the server re-exports or reorganizes the File-set using FileSet.copy() or FileSet.write()
  4. a server-local file referenced by the malicious DICOMDIR is included in the exported result

PoC

Minimal reproduction:

  1. Copy a sample File-set that contains a valid DICOMDIR
  2. Modify one DirectoryRecordSequence item so that ReferencedFileID = "/etc/passwd" (or /tmp/secret.txt)
  3. Load it with FileSet(ds) or FileSet(path_to_dicomdir)
  4. Call FileSet.copy(new_root)
  5. Observe that the exported File-set contains the contents of the referenced external file

Example:

from pathlib import Path
from tempfile import mkdtemp
import shutil
from pydicom import dcmread
from pydicom.fileset import FileSet

base = Path("src/pydicom/data/test_files/dicomdirtests")
root = Path(mkdtemp(prefix="fsroot_"))
out = Path(mkdtemp(prefix="fsout_"))

shutil.copy2(base / "DICOMDIR", root / "DICOMDIR")
for d in ("77654033", "98892003", "98892001"):
    shutil.copytree(base / d, root / d)

ds = dcmread(root / "DICOMDIR")
item = next(x for x in ds.DirectoryRecordSequence if "ReferencedFileID" in x)
item.ReferencedFileID = "/etc/passwd"

fs = FileSet(ds)
fs.copy(out)

I also verified the issue in a simple web import/export demo where an uploaded malicious File-set caused /etc/passwd to be copied into the exported result.

If useful, I can provide the exact malicious sample and the demo environment separately.

Impact

This is a path traversal / root containment bypass in FileSet handling.

Observed impact:

arbitrary file read/copy outside the File-set root via FileSet.copy() arbitrary file move outside the File-set root via FileSet.write() arbitrary file delete outside the File-set root via FileSet.remove(...); write(use_existing=True) Affected applications are those that accept untrusted DICOMDIR / File-set input and then call public FileSet workflows such as load(), copy(), write(), or remove().

A realistic impact is server-side file disclosure in import/export workflows.

Affected Packages

2 total 2 fixed
EcosystemPackageVulnerable rangeFix
🐍PyPIpydicom≥ 3.0.0&&< 3.0.23.0.2pip install --upgrade 'pydicom==3.0.2'
🐍PyPIpydicomall versions2.4.5pip install --upgrade 'pydicom==2.4.5'

Affected Products

1 product · 1 configurations
Application
pydicompydicom
≥ 2.0.0 && < 3.0.2
range

Detection & mitigation playbook

Open-source dependency
  1. Detect

    Scan your dependency tree (package-lock.json, pnpm-lock.yaml, requirements.txt, go.sum, etc.) for pydicom, including transitive dependencies — a direct dependency you never call can still pull in a vulnerable version.

  2. Fix

    Update pydicom to 3.0.2 or later, then make sure no transitive (indirect) dependency still pins the vulnerable range — O3 confirms GHSA-v856-2rf8-9f28 is resolved across your whole dependency graph.

  3. Workarounds

    Resolve every user-supplied path to its canonical form and reject anything that escapes the intended directory, and run the component under an account that has no read or write access outside the directory it legitimately serves.

Frequently Asked Questions

### Summary A crafted `DICOMDIR` can set `ReferencedFileID` to a path outside the File-set root. `pydicom` resolves the path only to confirm that it exists, but does not verify that the resolved path remains under the File-set root. Subsequent public `FileSet` operations such as `copy()`, `write()`, and `remove()+write(use_existing=True)` use that unchecked path in file I/O operations. This allows arbitrary file read/copy and, in some flows, move/delete outside the File-set root. ### Details Verified on `pydicom 3.1.0.dev0`. Relevant logic is in `src/pydicom/fileset.py`: - `RecordNode._file
O3 Security · Impact-Aware SCA

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