Ultrasound is the screening modality of choice for fetal imaging. However, when additional information regarding fetal anatomy or pathology is needed, fast MR imaging is increasingly being used as a correlative imaging modality. Performances of high quality sonographic and MR examinations as well as interpretation by individuals familiar with prenatal diagnosis are important factors for optimal parental counseling. MR imaging frequently adds additional information regarding fetal central nervous system anomalies beyond that available with ultrasound. This information commonly changes patient counseling, and at times patient management.