A systems and methods for tissue characterization using ultrasound are disclosed. One embodiment is for a system with a novel YB-scan transducer. The YB transducer is comprised of a plurality of separate and independent piezo-elements. The system is configured to scan a tissue or organ using two different frequencies to produce 2D images and two-frequency attenuation data to characterize tissue types. Other embodiments are presented permitting conventional B-scan imaging combined with A-mode scanning for two-frequency tissue characterization.