A medical diagnostic ultrasound imaging system and method are provided for communicating with a server during an examination of a patient using first and second communication channels. Communication between the controller and the server via the second communication channel occurs within a predetermined amount of time. In one embodiment, the controller of the medical diagnostic ultrasound imaging system is configured to send and receive different information via the first communication channel than via the second communication channel. In another embodiment, communication between the controller and the server via the second communication channel is faster than communication between the controller and the server via the first communication channel. Other embodiments are presented, and each embodiment can be used alone or in combination with each other.