Systems and methods are described to create a plurality of ultrasound images of an area, each of the plurality of ultrasound images acquired using a respective beam steering angle, determine, for each of a plurality of image pixel locations in each of the plurality of ultrasound images, a value of an image pixel located at an image pixel location, identify, for each of the plurality of image pixel locations, a value among the plurality of values determined for the pixel location other than the largest value of the plurality of values determined for the pixel location, and create a first output image in which each of the plurality of image pixel locations of the output image includes an image pixel having the value identified for the image pixel location.