We have established a three-dimensional (3-D) imaging facility for reconstruction of serial two-dimensional (2-D) ultrasound images. In the facility, contiguous 2-D images are captured directly at the clinical site from the real-time video signals of a Labsonics serial ultrasound imager. The images are digitized and stored on an IBM PC. They are then transferred over an Ethernet communication network to the Image Processing Laboratory. Finally, the serial images are reformatted and the 3-D images are reconstructed on a Pixar image computer. The reconstruction method involves grey level remapping, slice interpolation, tissue classification, surface enhancement, illumination, projection, and display. We have demonstrated that 3-D ultrasound images can be created which bring out features difficult to discern in 2-D ultrasound images. © 1989 SPIE.