An ultrasound imaging system (300) includes one or more transducing elements (304). The ultrasound imaging system further includes a system controller (330) configured to control the one or more transducing elements to receive for a predetermined time duration without first transmitting and produce a noise only signal. The system controller is further configured to control the one or more transducing elements to transmit a set of pulses which causes the one or more transducing elements to transmit a pressures wave and receive echo waves generated in response to the transmitted pressures wave and produce an echo plus noise signal indicative thereof. The ultrasound imaging system further includes a noise processor (320) that compensates the echo plus noise signal with the noise only signal, creating a denoised signal, which is displayed.