Abstract: The preferred embodiments described herein provide a medical diagnostic ultrasound imaging system with a patient support surface. In one preferred embodiment, a medical diagnostic ultrasound imaging system is provided that is integrated with a base coupled with a patient support surface. In another preferred embodiment, a medical diagnostic ultrasound imaging system is carried by a medical diagnostic ultrasound imaging system cart that is detachably coupled with a base coupled with a patient support surface. In yet another preferred embodiment, a first medical diagnostic ultrasound imaging system assembly is provided that is integrated with a base coupled with a patient support surface. A medical diagnostic ultrasound imaging system cart is also provided that carries a second medical diagnostic ultrasound imaging system assembly and is detachably and electrically coupled with the base.