Aligning an X-ray source in an X-ray imaging system. The system includes a column, an upper shelf coupled to the column through a pivoting joint, a rotating part rotatably coupled to the upper shelf, the rotating part comprising a first X-ray source, a laser, and an X-ray imaging detector. The system also includes a patient support attached to the column with a first arm, and includes a pair of adjustable ear rods or other patient contact. The system is configured to generate a laser beam from the laser, project the laser beam to a fixed location on the X-ray imaging detector, the fixed location associated with a Frankfurt plane of the patient, and adjust the patient support to have the patient contact aligned with the laser beam.
