AbstractScintillation in the polar cap ionosphere is observed with a Coherent Electromagnetic Radio Tomography (CERTO) receiver while the Resolute Bay Incoherent Scatter Radars (RISR) provide background plasma conditions in a 3D volume. We interpret fluctuations in the very high frequency (VHF) and ultrahigh frequency (UHF) signal associated with mid‐scale ionospheric structuring using 3D density gradients and plasma drift velocity vectors and calculate the maximum gradient drift instability growth rate. Plasma structuring is evident for any plasma density gradient, but sub‐kilometer structures are less likely on the leading edge of polar patches, possibly due to a much faster diffusion rate for small‐scale structures. Structures are much more uniformly distributed around density enhancements that do not have clear leading and trailing edges. Although the gradient drift instability is an important factor in polar cap structuring, linear growth rates are most successful at predicting structuring around isolated density enhancements in consistent plasma flows. For more general density gradients, the time history of a plasma parcel and local diffusion rates must also be considered.