An ultrasound probe including an active thermal management system is disclosed. The active thermal management system may include a fluid chamber coupled to a transducer assembly of the ultrasound probe. The fluid chamber may include a coolant that may dissipate heat from the transducer assembly. The active thermal management system may further include a heat sink coupled to the fluid chamber and thermal management system. The heat sink may include fins that extend into the coolant. The coolant may be a liquid or a gas. The coolant may be circulated within the fluid chamber by a circulation device. The circulation device may be a pump, a fan, or an impeller. An ultrasound probe may further include a window that forms an enclosure over the lens of the transducer assembly. The enclosure may be fluidly coupled to the fluid chamber and filled with coolant to dissipate heat from the lens.