An ultrasound imaging system includes receive circuitry (110) configured to receive electrical signals from ultrasound transducer elements wherein the electrical signals are indicative of sensed ultrasound echo signals. The system further includes an image process (114) configured to process the electrical signals and generate a 2-D image. The system further includes a vessel wall identifier (116) configured to identify at least a proximal wall and a distal wall of a vessel in the B-mode image from the B-image employing a signal mirroring technique. The system further includes a rendering engine (124) configured to display the 2-D image on a display (126) with graphical indicia corresponding to the identified proximal wall and distal wall superimposed over the vessel in the 2-D image.