A system and method of three dimensional acoustic imaging for medical procedure guidance includes receiving (410) an acoustic signal that is scanned to interrogate a volume of interest determining (430) a location of a procedural device within the interrogated volume from the acoustic signal and displaying (470) on a display device (130) a first view of a first plane perpendicular to an orientation of the procedural device. Beneficially, a second view of at least one plane perpendicular to the first plane is also displayed. Also beneficially, a third view of a third plane perpendicular to the first plane and to the second plane is also displayed. Also beneficially, the first, second, and third views are displayed at the same time.