In shear wave imaging with an ultrasound scanner, multiple frames of shear wave data representing the same region of interest are acquired in response to a respective multiple ARFI transmissions. Instead of a fixed or same combination of focal locations for the ARFI transmissions, the focal locations of the ARFI transmissions are varied (e.g., randomly selected) between different frames of shear wave information. By combining the frames, a shear wave image may be generated with less missing data and/or shadowing effects.