Magnetic resonance imaging (MRI) of the eustachian tube, the nasopharynx, and the middle ear was performed in normal subjects and patients with ear diseases. In normal subjects, the high soft tissue contrast resolution of MRI gave a clearer view of nasopharyngeal structures compared to roentgenologic examinations including computed tomography (CT). Several cases of nasopharyngeal pathology are also presented. Nasopharyngeal carcinoma was excellently depicted, and its margin was clearly visualized. Tumor involvement of the eustachian tube and accompanying otitis media with effusion were clearly visualized. In a patient with submucous cleft palate, abnormal arrangement of levator veli palatini muscles and possible deformity of the eustachian tube cartilage were found. Magnetic resonance imaging is expected to become a valuable tool for the diagnosis of nasopharyngeal and middle ear diseases.