TCP 104

ProtocolTCP
Port104
Labelsacr-nema dicom, Digital Imag. & Comm. 300

Synopsis

  • Port 104/TCP is the well-known port for DICOM (formerly ACR-NEMA), the standard protocol used in medical imaging networks.
  • Hospitals and clinics use it for DICOM services such as C-STORE, C-FIND, and C-MOVE between imaging modalities and PACS/VNA systems.
  • Real-world software that listens on or connects via 104 includes Orthanc PACS, dcm4chee, Agfa Enterprise Imaging, GE Healthcare Centricity/Universal Viewer, Philips IntelliSpace PACS, Sectra PACS, and FUJIFILM Synapse.
  • Open-source toolkits and utilities such as DCMTK (storescp/movescu/findscu), dcm4che tools, and viewers like OsiriX/Horos and RadiAnt use this port when communicating with DICOM servers.
  • Imaging devices (e.g., Siemens MRI, GE CT, Philips ultrasound) commonly send studies to PACS over DICOM on port 104 by default, though many sites reconfigure to 11112.
  • Some deployments secure DICOM with TLS on alternative ports, but 104 remains widely used in legacy and current systems.
  • Security note: Internet-exposed DICOM services on 104/TCP have been abused to harvest PHI; scans have found misconfigured PACS/VNAs leaking images and metadata, so attackers often probe this port.
  • Administrators typically restrict 104 to internal networks and enforce authentication and encryption on DICOM nodes.

Observed activity

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