Cyber Resilience

CVE-2020-37009

Public PoC
Published
29 January 2026
Modified
15 April 2026
CVSS Score v4 8.7
Click a component to see what it means
Raw vectorCVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:H/VA:H/SC:N/SI:N/SA:N/E:X/CR:X/IR:X/AR:X/MAV:X/MAC:X/MAT:X/MPR:X/MUI:X/MVC:X/MVI:X/MVA:X/MSC:X/MSI:X/MSA:X/S:X/AU:X/R:X/V:X/RE:X/U:X
EPSS Score 0.0052 41th percentile
Risk Priority 55 floored blend · peak EPSS

Summary

CVE-2020-37009 is a high-severity Unrestricted Upload of File with Dangerous Type (CWE-434) vulnerability in Meddream (inferred from references). Its CVSS base score is 8.7 (High).

Operationally, exploitation aligns with the MITRE ATT&CK technique Exploit Public-Facing Application (T1190); ranked at the 41th percentile by exploit likelihood (below the median); it is not currently listed in the CISA KEV catalog; a public proof-of-concept is referenced.

The strongest mitigations our analysis identified map to SI-10 (Information Input Validation) and SI-2 (Flaw Remediation) — see the control section below for these in your framework.

Deeper analysis AI-assisted summary

Synthesised by an AI model from the NVD description and linked references — a reading aid, not an authoritative source.

CVE-2020-37009 is an authenticated remote code execution vulnerability in MedDream PACS Server version 6.8.3.751. The flaw resides in the uploadImage.php endpoint, which allows authorized users to upload malicious PHP files, such as a PHP shell, due to insufficient validation of uploaded files. This issue is classified under CWE-434 (Unrestricted Upload of File with Dangerous Type) and carries a CVSS v3.1 base score of 8.8 (AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H), reflecting high severity.

Attackers with low-privilege authenticated access can exploit the vulnerability remotely over the network with low complexity and no user interaction required. By authenticating to the server and uploading a malicious PHP file via the uploadImage.php endpoint, they can achieve remote code execution, enabling arbitrary system commands to be run with elevated privileges. This grants high impacts on confidentiality, integrity, and availability, potentially leading to full server compromise.

Advisories and references, including a VulnCheck advisory on MedDream PACS Server remote code execution, Exploit-DB entries (ID 48853) with proof-of-concept exploits, and the MedDream product page, provide further technical details. Security practitioners should review these sources for exploitation vectors and verify vendor guidance on patches or mitigations, as no specific remediation details are outlined in the core vulnerability description.

OWASP Top 10 for Web (2025)

EU & UK References

Vulnerability Data

MedDream PACS Server 6.8.3.751 contains an authenticated remote code execution vulnerability that allows authorized users to upload malicious PHP files. Attackers can exploit the uploadImage.php endpoint by authenticating and uploading a PHP shell to execute arbitrary system commands with elevated…

more

privileges.

CWE(s)

Related Threats

MITRE ATT&CK Enterprise TechniquesAI

T1190 Exploit Public-Facing Application Initial Access
Adversaries may attempt to exploit a weakness in an Internet-facing host or system to initially access a network.
T1505.003 Web Shell Persistence
Adversaries may backdoor web servers with web shells to establish persistent access to systems.
Why these techniques?

The vulnerability allows authenticated RCE via unrestricted upload of malicious PHP files (web shell) to a public-facing web application (uploadImage.php endpoint), directly mapping to T1190 (Exploit Public-Facing Application) and facilitating T1505.003 (Web Shell deployment for command execution).

Confidence: HIGH · MITRE ATT&CK Enterprise v19.0

CVEs Like This One

CVE-2024-58281Shared CWE-434
CVE-2024-12853Shared CWE-434
CVE-2025-23918Shared CWE-434
CVE-2025-68909Shared CWE-434
CVE-2026-45444Shared CWE-434
CVE-2026-2097Shared CWE-434
CVE-2025-66802Shared CWE-434
CVE-2025-69559Shared CWE-434
CVE-2024-13359Shared CWE-434
CVE-2024-37868Shared CWE-434

Affected Assets

Meddream
inferred from references and description; NVD did not file a CPE for this CVE

Mitigating Controls

Control response

Prevent
Stop it (NIST 800-53)
  • SI-10 Information Input Validation
  • SI-2 Flaw Remediation
  • SI-3 Malicious Code Protection
Detect
Catch it (NIST detect / respond)
  • SI-3 Malicious Code Protection
Harden
Shrink the surface (DISA STIG)

Validate
Prove the fix (OWASP ASVS)
  • V5.1.1

Mitigating Controls (NIST 800-53 r5) AI

prevent

Directly counters insufficient validation of uploaded files by requiring checks to block malicious PHP shells at the uploadImage.php endpoint.

prevent

Mandates timely remediation and patching of the specific flaw in MedDream PACS Server version 6.8.3.751 to prevent authenticated RCE exploitation.

preventdetect

Deploys malicious code protection mechanisms to scan and block uploaded PHP shells before they can be executed with elevated privileges.

Mitigating Controls (NIST CSF 2.0) AI

Derived directly from the weakness types (CWEs) cited in the NVD entry via our AI-authored CWE→CSF cross-walk (authority under review) — links open the control.

PR.PS-05 mostly match
prevents

Restricting execution of unauthorized software directly blocks dangerous uploaded files from running.

PR.PS-01 partial match
prevents

Hardened configuration baselines can enforce allowed file types and processing rules.

PR.PS-06 partial match
prevents

Secure development practices include input validation and file-type restrictions that prevent this weakness.

Mitigating Controls (ISO/IEC 27001:2022 Annex A) AI

Derived directly from the weakness types (CWEs) cited in the NVD entry via our AI-authored CWE→ISO cross-walk (authority under review) — links open the control.

detects

Configuration and acceptance testing verify that file-upload handling enforces allowed types and does not permit dangerous content to be stored or executed.

prevents

Secure-coding guidelines and security testing explicitly address restrictions on allowed file types and upload handling, reducing the risk that dangerous file uploads are accepted without validation.

prevents

Mandated testing for malicious content and known vulnerabilities reduces the likelihood that an outsourced component will contain or accept dangerous file types that could later be uploaded or executed.

mitigates

Application allow-listing and pre-use scanning of received files directly blocks the introduction of executable content that has not been vetted, eliminating the primary vector for unrestricted dangerous file uploads.

References