A system and method for including and correcting subject orientation data in a digital radiographic image. A subject (14) is positioned in an X-ray imaging system (10) and an orientation of the subject (14) is entered into the X-ray imaging system (10). The subject is imaged with an X-ray exposure to create an X-ray image (12) of the subject (10). An operator reviews the X-ray image (12) of the subject (12) and subject orientation data. If the subject orientation data is not correct, the operator may correct the subject orientation data so that it matches the subject's anatomy during the X-ray exposure. The correct subject orientation data is then saved and is part of the X-ray image (12) and Digital Imaging and Communications in Medicine (DICOM) header when sent to a Picture Archiving and Communication System (PACS).