A medical diagnostic ultrasound imaging system is responsive to a user position. A sensor determines the position of the user. One or more components of the ultrasound imaging system move as a function of the sensed position. For example, the display and/or control panel of the ultrasound imaging system rotate or translate based on motion or a current position of the user. As the user leans or moves during an examination, at least a component of the ultrasound system compensates for the change in position. As another example, the ultrasound imaging system follows the user from one patient to another patient. As another example, the ultrasound imaging system packages itself. The user may move for purposes other than adjusting a position of the ultrasound imaging system or a component thereof, but the system or component moves to aid the user.