A medical ultrasound system for reproducing the location of an ultrasound probe and image in relation to a pre-selected anatomical reference of a patient, the ultrasound system including: an ultrasound machine comprising said probe having a probe head, an ultrasound image generator for creating image data and said image, and a real time three-dimensional image position image processor) comprising: a probe sensor fixed to the probe head for tracking probe head position; an anatomical reference sensor for tracking the position of the pre-selected anatomical reference; a body sensor for tracking the patient's body position and orientation in reference to a known patient position on a table; a processor configured to receive tracking data from the probe sensor, the anatomical reference sensor, and the body position sensor, and the image from the ultrasound image generator, the processor dynamically referencing probe head position, and the image to the anatomical reference and the body or a second prior set of images and, further, automatically generating annotations of image targets selected by an operator; a display for simultaneously displaying the image and the probe head position over a body diagram dynamically referenced to the pre-selected anatomical reference and the patient's body orientation planes; memory for storing data from the processor for later retrieval and overlay with subsequent images to facilitate anatomical reference correlation and location of image targets. an ultrasound machine comprising said probe having a probe head, an ultrasound image generator for creating image data and said image, and a real time three-dimensional image position image processor) comprising: a probe sensor fixed to the probe head for tracking probe head position; an anatomical reference sensor for tracking the position of the pre-selected anatomical reference; a body sensor for tracking the patient's body position and orientation in reference to a known patient position on a table; a processor configured to receive tracking data from the probe sensor, the anatomical reference sensor, and the body position sensor, and the image from the ultrasound image generator, the processor dynamically referencing probe head position, and the image to the anatomical reference and the body or a second prior set of images and, further, automatically generating annotations of image targets selected by an operator; a display for simultaneously displaying the image and the probe head position over a body diagram dynamically referenced to the pre-selected anatomical reference and the patient's body orientation planes; memory for storing data from the processor for later retrieval and overlay with subsequent images to facilitate anatomical reference correlation and location of image targets. a probe sensor fixed to the probe head for tracking probe head position; an anatomical reference sensor for tracking the position of the pre-selected anatomical reference; a body sensor for tracking the patient's body position and orientation in reference to a known patient position on a table; a processor configured to receive tracking data from the probe sensor, the anatomical reference sensor, and the body position sensor, and the image from the ultrasound image generator, the processor dynamically referencing probe head position, and the image to the anatomical reference and the body or a second prior set of images and, further, automatically generating annotations of image targets selected by an operator; a display for simultaneously displaying the image and the probe head position over a body diagram dynamically referenced to the pre-selected anatomical reference and the patient's body orientation planes; memory for storing data from the processor for later retrieval and overlay with subsequent images to facilitate anatomical reference correlation and location of image targets.