Goldenhar syndrome has a highly variable phenotype which leads to overlap features with other syndromes and creates difficulties to diagnose it. Although conventional two dimensional (2D) and three dimensional (3D) ultrasound are the imaging modalities of choice for conducting antenatal evaluation of fetal anomalies, limitations at featuring subtle malformations have been encountered. Goldenhar syndrome is usually diagnosed by routine sequential planes at second trimester ultrasound screening. The aim of this report was to describe imaging findings, 3DXI performance in the mid trimester fetal evaluation and its postnatal clinical correlation in fetuses with Goldenhar syndrome. We describe conventional 2D and 3D ultrasound findings supplemented by 3DXI of three fetuses affected by Goldenhar syndrome using Accuvix XQ ultrasonographic equipment (Medison. Seoul-Korea). We obtained fetal volumes in 65 degrees swept. The obtained volumes were analyzed in the post-processor software 3DXI viewer (V1.00.0518, Medison, Seoul, Korea) and clinically correlated. All three cases had hemifacial microsomia, ear skin tags and ear deformities. Two of them had hemivertebrae. Just in a case we found an occipital encephalocele and in other case the fetus had aortic stenosis. Prenatal findings and antenatal diagnosis were well correlated at birth. In our experience 3DXI is an useful additional method for fetal morphological evaluation. Because of its additional information over conventional 2D and 3D ultrasound, improves imaging details of subtle alterations such as ear skin tags, ear deformities, spine malformations, limb compromise and other associated anomalies like those at cardiac and central nervous systems.