Ah, that makes a lot of sense - I was trying to find information on how ultrasound machines worked awhile ago, and most of the information I found just said that a ceramic piezo is used to emit the sound and measure the time until it returned. I could not fathom at the time what kind of math must be required to get a 2D image out of a single data point like that, and I couldn't find much elaboration on the subject.
But if it's just a few hundred piezos in an array, now THAT makes a lot more sense.