Radiographic distortion can be size-based or shape-based. Size distortion relates to magnification and is affected by object-to-image distance (OID) and source-to-image distance (SID), with shorter OID and longer SID reducing magnification. Shape distortion alters the true shape and can involve elongation from non-perpendicular alignment of the central ray, anatomical part, and image receptor, or foreshortening from non-parallel alignment of the part and receptor. Proper alignment minimizes shape distortion.