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Review reviewCritical

CVE-2026-58126

Hyland PACSgear PACS Scan, pacsgear

PACSgear PACS Scan 5.2.1 contains an unauthenticated remote code execution vulnerability that allows remote attackers to read and write arbitrary files by exploiting an exposed .NET Remoting TCP service on port 22222 via PGImageExchQueue.exe without any authentication requirement. Attackers can chain the arbitrary file write primitive with DLL hijacking in PGImageExchangeQueueSvc.exe, which loads missing DLLs such as CRYPTSP.DLL from the application directory, to achieve remote code execution as NT Authority\SYSTEM upon service restart.

CVSS
9.3
EPSS
0.96%
57.8% percentile
CISA KEV
Not listed
Published
2026.07.02
PRIORITY ASSESSMENT

Review review

The CVSS severity warrants an early asset and exposure review.

Known exploitationNot established by KEV
Exploit probability0.96%
Technical severityCVSS 9.3

Vulnerability overview

PACSgear PACS Scan 5.2.1 contains an unauthenticated remote code execution vulnerability that allows remote attackers to read and write arbitrary files by exploiting an exposed .NET Remoting TCP service on port 22222 via PGImageExchQueue.exe without any authentication requirement. Attackers can chain the arbitrary file write primitive with DLL hijacking in PGImageExchangeQueueSvc.exe, which loads missing DLLs such as CRYPTSP.DLL from the application directory, to achieve remote code execution as NT Authority\SYSTEM upon service restart.

Affected product and versions

Product
Hyland PACSgear PACS Scan, pacsgear
Affected versions
5.2.1, <= 5.2.1
Fixed versions
No verified fixed-version field is available yet

Recommended response sequence

Confirm exposure before applying a vendor-supported change.

Full remediation guide
  1. 1
    Identify

    Confirm that Hyland PACSgear PACS Scan, pacsgear and an affected version are present.

  2. 2
    Prioritize

    Combine exploitation signals with asset exposure and business criticality.

  3. 3
    Remediate

    Follow the vendor advisory or supported update path and preserve rollback options.

  4. 4
    Verify

    Recheck the version, service health, access paths, and relevant logs.

Technical data

CVSS vector
CVSS:4.0/AV:N/AC:L/AT:N/PR:N/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
CWE
CWE-306, CWE-502