Back-scattered ultrasonic signals provide scatterer structure information. Large-scale structures, such as tissue and tumor boundaries, typically create significant amplitude differences that reveal boundaries in conventional intensity images. Small-scale structures typically result in textures observed over regions of the intensity image. This paper describes the generalized spectrum (GS) for characterizing small-scale scatterer structures and applies it to analyze scatterer structures in a class of malignant and benign breast masses. Methods are presented for scaling and normalizing the GS to reduce effects from system response, overlaying tissue, and variability from noncritical structures. Results from a limited clinical study demonstrate an application of using the GS to discriminate between benign and malignant breast masses that contain internal echoes. Sections of rf A-scans in 41 breast mass regions were taken from 26 patients. A GS analysis was applied to determine critical structural properties between a class of fibroadenoma and carcinoma masses. Classifiers designed using significant structure differences identified by the GS analysis achieved approximately 82% true-positive and 10% false-positive rates.