Ultrasound is attractive for medical imaging in space because scanners can be small, lightweight, low power, and have minimal electromagnetic emissions. In addition, unlike conventional 2-D ultrasound. 3-D ultrasound allows an operator with no diagnostic skills to collect high-quality scans that can be interpreted by a remote expert. This allows 3-D ultrasound to be used effectively in remote locations. These capabilities are illustrated by the MUSTPAC-1, a portable 3-D ultrasound telemedicine system recently developed for the U.S. military. Design, implementation, and field experiences with the MUSTPAC-1 are discussed, and extensions for use in space are proposed.