As you can see (photos) the compressor discharge makes an abrupt angle leaving the turbo to enter the big "U" bend into the manifold.
Perhaps it wasn't possible with this turbo, but very frequently the compressor and turbine housings can be "clocked", or rotated, separately, without disturbing the center bearing, oil drain etc.
Clocking it 90° CCW would point the discharge up so it goes directly into the vertical leg of the U.
In this case, a CCW turbo with reverse scroll would have been even easier but not always available.