3D positioning in UE4 4.8 is hard panning

Question

I'm experiencing a problem with 3D positioning turned on with Game-defined (update at each frame) and enable spatialization checked.

I'm working on an FPS game and when I look up in game and fire a sound off it pans hard right. If I look down and fire a sound off it pans hard left. Just to make sure I switched to 2D to see if stereo is working ok and that worked.

Could this be a setting in Wwise that I'm overlooking or  is it something I should ask the engineering team to look at on the code side?

Thanks!