Hah! Oddly enough, my wife is due in 10 days, so I've been spending a lot of time looking at ultrasound images myself.
Since we're talking about 2075, I assume that ultrasounds produce crisper 3D images than what you'll see with current 3D ultrasound. It's mono-chromatic, but you should be able to reliably distinguish between faces, etc. "Ultrasound 3D" and "3D mapping robot" should provide some Google images to give you a sense of what you see and what you don't see.
Silence is a dead zone. If it's a giant dome in the middle of a room, it might be a dead giveaway. If the mage is using metamagic to keep the spell tight to his body and he's tucked against something, it would be much harder to distinguish.
For my own sanity, I wouldn't have the sound of the ultrasound interact with ambient noise. Maybe in a truly exceptional case (Barghests, flash bang), I'd have the user essentially go blind for a moment, but that's more for flavor.
Nope.