1. A pipe inspection system, comprising: a camera head, the camera head including: an orientation sensing module; an image sensor configured to generate a source image comprising a first plurality of pixel values at a first pixel size of n horizontal pixels by m vertical pixels and provide the source image as a source image output signal; an image processing module coupled to the orientation sensing module and image sensor, said image processing module configured to receive the source image output signal and generate a second image corresponding to a subset of the first plurality of pixel values of the first image, wherein the subset of pixels are selected based on a geometric rotation of the orientation of the source image output signal that is based on an orientation signal provided from the orientation sensing module, and provide the subset of pixels as a rotated digital output signal; and a line driver coupled to an output of the image processing module to receive the rotated digital output signal and provide a digital camera head output signal to a push-cable transmission line operatively coupled to the camera head.