I ran into a problem a lot like yours when I did the compound turbo setup on in my 81 Chevy Cummins conversion. It seemed like there were limited places to put the primary turbo that still allowed for proper exhaust routing. I ended up having to pull the primary turbo forward almost directly next to the secondary. This gave me enough room to get the 5" downpipe under the truck. I am using a 62mm s300, a 75mm s400 and a PDI manifold flipped upside down. If you look at the pics you can see that my pipe connecting the hot side of the 2 turbos is quite a bit differant then the 90* elbow you have. You may have to build your own piping. Here are a couple pictures of my homebuilt setup. If you have any questions or need more photos feel free to ask. I hope this helps a little.