Ultrasound imaging systems and methods are disclosed to reduce speckle. The systems and methods include the use of an ultrasound device and a controller. The ultrasound device includes an end effector having a first jaw member and a second jaw member opposite the first jaw member. The first jaw member and the second jaw member move relative to one another to grasp tissue therebetween. A first ultrasound transducer is disposed on the first jaw member and a second ultrasound transducer is disposed on the second jaw member. The controller receives a first signal from the first ultrasound transducer and a second signal from the second ultrasound transducer and generates an image based on the first signal and the second signal.