Scattering of sound occurs when the sound interfaces with small interfaces or rough boundaries.
Scattering differs from specular reflection in several key ways. Unlike specular reflection, scattering:
generates weaker echoes
is angle-independent
is frequency-dependent
A good example of a scattering medium is blood. The red and white blood cells in blood are tiny, and as a result, they scatter the incident sound in all directions. Only the small fraction that is backscattered returns to the transducer in the form of an echo. Using a low-frequency transducer, arterial blood typically appears anechoic because the scattered echoes are too weak to be displayed. However, if a higher frequency transducer is used, the backscatter increases, the scattered echoes become stronger and may be visible on the screen.
This short 2-minute video explains that concept: