Ultrasound physics involves the generation and propagation of sound waves. Sound is a mechanical wave that requires a medium and causes the vibration of molecules. Key acoustic variables that describe sound waves include pressure, density, and distance, which change as waves cause molecular compression and rarefaction. Essential parameters used to characterize ultrasound waves are period, frequency, amplitude, wavelength, and propagation speed. Understanding ultrasound physics is necessary for proper use of diagnostic ultrasound.