A system and method for generating ultrasound images of a subject without physically contacting the subject is provided. A photoacoustic excitation source may be employed that directed into a scanning mirror to transmit acoustic disturbances into a patient to induce propagating photoacoustic waves. The acoustic disturbances are translated along the patient in a defined direction to cause coherent summation of the propagating photoacoustic waves and, thereby, a resultant acoustic and/or elastic wave to probe structures within the patient. Vibrations created by the backscatter of the resultant wave are detected at the surface of the patient and ultrasound images of the structures within the patient are generated. Detection of the vibrations may be performed using a laser vibrometer. The excitation and detection systems may be used separately or in combination.
