An ultrasound coupling gel container is provided and includes a flexible body having front wall, back wall, an outlet end, a planar bottom gusset, and a dispensing assembly. The back wall is positioned adjacent and opposes the front wall. The back wall is sealed to the front wall along a periphery thereof and provides a cavity receiving section. An outlet end is formed from a front wall top section and a back wall bottom section. The planar bottom gusset includes a central portion formed from sealed peripheral edge portions along the front wall and of the back wall. The dispensing assembly is sealed to a peripheral edge of the front wall and of the back wall at the outlet end of the flexible body.