The invention discloses a medical image diagnostic device capable of performing azimuth adjustment. The medical image diagnostic device capable of performing the azimuth adjustment includes an image diagnostic display screen, a lifting slide block is arranged on the outer surface of the rear end of the image diagnostic display screen, a movable supporting frame is arranged on the outer surface ofthe rear end of the lifting slide block, and a rotating main shaft is arranged on the outer surface of the lower end of the movable supporting frame. An auxiliary control table is arranged on the outer surface of the rotating main shaft, a paper extraction placing tube is arranged on the outer surface of one side of the auxiliary control table, and a key control table is fixedly connected to the outer surface of the front end of the auxiliary control table. According to the medical image diagnostic device capable of performing the azimuth adjustment, people can conveniently take a paper roll to wipe through the paper extraction placing tube, and using of people is facilitated; through a transparent dust-proof structure, the emergence of ash dropping on the top of the key control table surface is prevented, the breeding and spreading of bacteria are avoided, and using of people is facilitated; and through a storage writing board, medical staff conveniently write diagnosis results, unexpected conditions are avoided to appear, and using of people is facilitated.