A piezoelectric ultrasonic sensor has been fabricated using an epitaxial lead zirconate titanate, Pb(Zrx, Ti1−x)O3 (PZT) thin film, grown on an epitaxial SrRuO3/Pt/γ-Al2O3/Si substrate. The 3-μm thick PZT film was prepared by the sol–gel method. This sensor structure was very stable during the fabrication process after preparation of the PZT. The fabricated sensor offers a reception sensitivity of up to −243dB re 1V/μPa in the frequency range from 1 to 15MHz, which means that it has higher sensitivity than that of a conventional polyvinylidene fluoride (PVDF) hydrophone. The pressure field of a focused ultrasonic transducer was determined using this ultrasonic sensor. The measured pressure peak was in good agreement with the results derived from calculations. These results suggest that the fabricated ultrasonic sensor can be used as a high sensitivity hydrophone device.