ChatGPT, a state-of-the-art AI model created by OpenAI, is renowned for its ability to produce text responses that closely mimic human communication. Recently, it has broadened its scope to encompass multimodal interactions, rendering it particularly advantageous for medical applications. In this paper, we explore into the potential of ChatGPT in the realm of Ultrasound (US) imaging, Our investigation encompasses a series of case studies and examples, each tailored to demonstrate ChatGPT’s application in various aspects of US imaging. These include emphasizing its capacity for intricate analyses, including grayscale texture examination and perfusion metrics in contrast-enhanced ultrasound (CEUS). Moreover, its involvement in real-time imaging guidance, its role in streamlining workflow efficiencies, and its utility in the simplification of medical report generation to facilitate better patient communication. The case studies, while successful, unveil certain limitations and challenges, prominently featuring concerns regarding privacy and technical constraints. Despite these challenges, the evidence gathered from our examples indicates that ChatGPT's innovative features and its ability to operate across multiple modes significantly enhance the efficiency of quantitative image analysis in US imaging. By improving diagnostic precision and potentially elevating patient care outcomes, ChatGPT marks a significant stride forward in healthcare technology, though it necessitates careful consideration of its associated ethical and technical challenges.