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Radiography and radiology are vital to the health care profession, offering many non-invasive radiographic techniques that provide detailed information about what underlies superficial skin. On the contrary, ‘neurological' convention dictates that ‘right is right', as commonly adopted for images from neuroimaging studies such as functional magnetic resonance imaging.1 This dichotomy is so renowned that the images are usually labelled ‘radiological' or ‘neurological' convention when an article is interdisciplinary.2 Occasionally, medical radiographs are an eccentric projection instead of an orthoradial projection. [...]when a sternoclavicular joint injury is suspected, radiologists may prescribe a serendipity view where the X-ray beam is ‘tilted 40 degrees cephalic off vertical' in order to visualise the joint.3 4 To achieve the tilt, radiographers will shift/translate the whole tube head in a caudal direction, and then rotate the tube such that it points in a cephalic direction.