Synthetic transmit aperture is provided for three-dimensional ultrasound imaging. A transducer may have separate transmit and receive elements. Broad beams are transmitted, allowing fewer transmit elements and/or more rapid scanning. A multidimensional receive array generates data in response to sequential transmissions, such as transmissions from different angles. The data is combined to increase resolution. A transducer array with offset transmit elements for forming a transmit line source may be used.