Shear wave imaging is provided in medical diagnostic ultrasound. The generation of a shear wave with acoustic energy forms a pseudo shear wave (an apparent wave) traveling towards the transducer. Transmission and reception along a single line may be used to detect the pseudo shear wave traveling towards the transducer. The shear velocity or characteristic may be determined without reception along multiple laterally spaced scan lines. One transmission to generate the shear wave may be used. With multi-beam receive or without, calculating shear velocity from along a single line allows rapid determination.