We present a physically intuitive matrix approach for wave imaging and characterization in scattering media. The experimental proof of concept is performed with ultrasonic waves, but this approach can be applied to any field of wave physics for which multielement technology is available. The concept is that focused beam forming enables the synthesis, in transmit and receive, of an array of virtual transducers which map the entire medium to be imaged. The interelement responses of this virtual array form a focused reflection matrix from which spatial maps of various characteristics of the propagating wave can be retrieved. Here we demonstrate (i) a local focusing criterion that enables the image quality and the wave velocity to be evaluated everywhere inside the medium, including in random speckle, and (ii) a highly resolved spatial mapping of the prevalence of multiple scattering, which constitutes a new and unique contrast for ultrasonic imaging. The approach is demonstrated for a controllable phantom system and for in vivo imaging of the human abdomen. More generally, this matrix approach opens an original and powerful route for quantitative imaging in wave physics.