The Seasoned Sonographer

Guest: Dr. Jocelyn Peters, OB/Gyn, Houston, TXHost: Lynn Flamm, RDMS, founder of Sono Techniques Academy and host of The Seasoned SonographerTopics discussed:Cultural competence in OB/Gyn practiceThe value of bilingual care for Hispanic and Spanish-speaking patientsRegional trends in women’s health and ultrasound accessHow ultrasound supports trust and understanding in prenatal careEmpowering women through communication and educationListen on: Apple Podcasts, Spotify, and YouTubeFollow: @TheSeasonedSonographer | @SonoTechniquesAcademy© 2025 The Seasoned Sonographer, a division of Sono Techniques Academy.All rights reserved. Unauthorized reproduction or distribution of this content is prohibited. I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode, we dive deep into the clinical importance of cervical length measurement by transvaginal ultrasound—a key screening tool for identifying risk of preterm birth. We cover:The criteria for when and why to measure cervical lengthA step-by-step technical breakdown for accurate transvaginal imagingThe significance of funneling, with a focus on V-shaped vs. U-shaped funneling and what each implies about cervical integrityThe use of Valsalva maneuver and fundal pressure to assess dynamic cervical changesHigh-risk factors including history of LEEP, twins, and previous preterm deliveryWhy precision in sonographer technique matters and how small differences in measurement can shape major clinical decisionsWe also introduce Dr. Torrez, a board-certified OB/Gyn, who joins us to discuss a recent patient case from our own office. In this powerful clinical vignette, we explore how a short cervix—measured during a routine scan—led to timely intervention that ultimately changed the trajectory of care.Whether you’re a sonographer, provider, or educator, this episode offers practical insight, clinical pearls, and a reminder that millimeters truly do matter. I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this special Medical Ultrasound Awareness Month episode of The Seasoned Sonographer™, host Lynn Flamm, RDMS, reflects on 33 years in ultrasound and the incredible influence OB/GYN sonographers have on women’s healthcare.This episode explores:💓 The importance of OB/GYN sonographers in patient care and diagnosis.⚙️ The challenges and emotional resilience of the profession.📖 A personal story that captures the heart of ultrasound.🎤 An interview with a fellow Seasoned Sonographer, who shares her journey and what this awareness month means to her.🌟 A “Did You Know” spotlight on ultrasound’s evolution and safety.🤝 The reward of mentorship and lifelong learning in our field.Whether you’re a student, a practicing sonographer, or a provider who values imaging excellence, this episode will remind you why our work matters so deeply. © 2025 Sono Techniques Academy. All rights reserved.Produced by Sono Techniques AcademyLearn more at www.sonotechniquesacademy.com I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Topics covered in this episode:Definition of Abnormal Uterine Bleeding (AUB) and why it mattersFIGO’s PALM-COEIN classification system (structural vs non-structural causes)Sonographic evaluation of the endometrium: thickness, echotexture, and Doppler findingsKey ultrasound patterns of polyps, fibroids, adenomyosis, and hyperplasiaPostmenopausal bleeding and when endometrial thickness is concerningHow providers use ultrasound reports to guide treatment and biopsy decisionsCommunication tips: explaining findings to patients without creating fearCollaboration between sonographers and providers for best patient outcomesGuest Interview Highlights:Logan Colvis, PA shares real-world cases, diagnostic challenges, and the role ultrasound plays in shaping management decisions for women with AUB.Takeaway Pearls:Always measure and document endometrial thickness in the sagittal planeEndometrial appearance must be interpreted in the context of age, cycle, and symptomsStructural causes (polyps, fibroids, adenomyosis) have distinct ultrasound patternsClear sonographer reporting = better, faster, and safer patient care© 2025 Sono Techniques Academy – The Seasoned Sonographer Podcast by Lynn Flamm, RDMS. All Rights Reserved I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode of The Seasoned Sonographer, Lynn Flamm, RDMS, sits down with OB/GYN physician Dr. Torrez to unpack the Biophysical Profile (BPP) — one of the most important tools in obstetric ultrasound for assessing fetal well-being. Together, they review the five components of the BPP, how scores are interpreted, and what they reveal about oxygenation and neurologic function in the fetus.The conversation highlights the critical role of amniotic fluid, including how oligohydramnios and polyhydramnios can change management even when other findings appear normal. Dr. Torrez also explains when and why Umbilical Artery Dopplers are added to the BPP to evaluate placental insufficiency and guide high-risk care.Whether you’re a student, a practicing sonographer, or a provider, this episode will give you practical insight into how BPPs influence decision-making, when to escalate care, and what sonographers can do to optimize reporting and communication for the best patient outcomes.© 2025 The Seasoned Sonographer podcast by Lynn Flamm. All rights reserved.  I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Topics Covered in This Episode:When and why a third trimester ultrasound is orderedBiometry: HC, BPD, AC, FL & how they’re used to estimate fetal weight (EFW)Interpreting growth percentiles: SGA, FGR, macrosomiaAssessing fetal lie and presentation: cephalic vs. breechAFI vs. SDP/MVP: how to evaluate amniotic fluid and what’s normalReal-world scanning challenges: maternal habitus, fetal position, limited viewsWhat to document when scans are technically limitedWhen to add a Biophysical Profile and what it tells us about fetal well-beingSpecial Guest: Jessica Reichert, CNMJessica shares how third trimester ultrasounds inform clinical judgment and patient care, especially in high-risk or borderline cases. She also discusses collaboration with sonographers and shares a powerful case that underscores why these scans matter.Key Takeaway:Ultrasound is a real-time, sonographer-dependent exam — and what we document (or can’t document) in the third trimester can significantly shape the final stages of pregnancy care.  I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this short trailer episode, get to know the heart and mission behind The Seasoned Sonographer. We’re building a space where sonographers at every level can learn, grow, and thrive through:🌀 Case-based discussions🌀 Image optimization tips🌀 Real-world scan scenarios🌀 Troubleshooting strategies🌀 Mentorship and community support👩‍⚕️ Your Host:With 32+ years in OB/GYN ultrasound and a passion for training the next generation, your host brings clarity, confidence, and community to each episode.🎧 What’s Coming Up:How to consistently nail the fetal heart viewsTips when anatomy scans don’t go as plannedOptimizing your image when baby isn’t cooperating📲 Subscribe now so you never miss an episode — and get ready to level up your scanning skills.   I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode, we’re focusing on one of the most detail-driven parts of the anatomy survey: the fetal heart. Whether you’re just learning or teaching others, getting consistent, high-quality cardiac views can be one of the biggest challenges in OB ultrasound.Join your host — a sonographer with over 32 years of OB/GYN experience — as she walks through practical strategies to boost your confidence and improve your cardiac imaging technique every time you scan.💡 In This Episode, You'll Learn:Why the fetal heart is more than just the 4-chamber viewHow to approach outflow tract and 3-vessel views with clarityTips for adjusting when fetal position isn’t idealHow to troubleshoot maternal habitus🎯 Who This Episode Is For:Students, new grads, instructors, providers and any sonographer looking to refine their fetal heart imaging skills.📌 Pro Tip from the Episode:“Start with the 4-chamber, but don’t stop there — tracing the flow helps you understand the structure.”📲 Subscribe & Share:If this episode helped you, consider sharing it with your fellow sonographers or ultrasound students. Follow the show for more in-depth episodes that strengthen your scan, one structure at a time. I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode of The Seasoned Sonographer, I’m joined by a Certified Nurse Midwife for an in-depth conversation about the second-trimester anatomy scan and its significant role in midwifery care. Together, we discuss how this essential ultrasound—typically performed around 18 to 22 weeks—guides clinical decisions, influences patient counseling, and helps midwives provide informed, personalized care.Our guest shares how anatomy scan findings can shift the course of pregnancy management, from identifying potential complications to coordinating referrals and planning birth options. We also touch on the collaborative relationship between midwives and sonographers, and how detailed, high-quality imaging supports the midwifery model of care.Whether you're a practicing sonographer, a midwife, or a student in training, this episode offers a powerful look at how this pivotal scan shapes practice, supports patients, and highlights the impact of ultrasound in everyday clinical care. I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this solo episode of The Seasoned Sonographer, I’m diving into one of the most impactful scans in obstetrics: the second-trimester anatomy ultrasound. Often performed between 18 and 22 weeks, this detailed evaluation of fetal anatomy is not only a milestone for expectant parents—but a critical tool for the providers guiding their care.We’ll explore how the anatomy scan plays a key role in shaping clinical practice and potential maternal-fetal medicine referral. I’ll walk you through what sonographers are looking for during this scan, how to obtain those images, how those findings are interpreted, and why clear, comprehensive imaging makes such a difference for providers.This episode is all about bridging the gap between the scan room and the care plan—highlighting images based on AIUM guidelines and technique in obtaining them.  Emphasizing the real impact sonographers make, one anatomy screen at a time. I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode of The Seasoned Sonographer, we’re diving deep into the foundational and fascinating world of first trimester ultrasound. Whether you’re confirming an intrauterine pregnancy or navigating a challenging early scan, this episode provides practical insights for sonographers and providers alike. Join me as I break down the AIUM guidelines for what should be included in every first trimester scan—from evaluating gestational sacs and yolk sacs to measuring CRL and documenting cardiac activity. We’ll also walk through key image optimization techniques, including how to properly adjust depth, gain, and focus for clearer, more diagnostic images using both transabdominal and transvaginal approaches. We’ll explore common early pregnancy pathology, like subchorionic hemorrhages, embryonic demise, molar pregnancy, and ectopic gestations, and I’ll share clinical tips for spotting red flags before they become emergencies. I also talk through some of the challenges we face in the field, such as patient body habitus, scan limitations, and how to sensitively manage tough conversations with patients when pregnancies are nonviable. Whether you’re a new grad, a seasoned tech, or a provider looking to understand the sonographer’s perspective, this episode will help you scan smarter and with more confidence.  I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Welcome to The Seasoned Sonographer, the podcast where experience meets education in the world of OB/Gyn ultrasound. My name is Lynn Flamm, and I’ll be your host. I am a Registered Diagnostic Medical Sonographer with over 32 years of experience. Most of that time has been primarily in OB/Gyn ultrasound.  This podcast is for OB/Gyn sonographers, both new and seasoned. It’s also for ultrasound students who are looking for guidance as they navigate this field. And of course, it’s for the providers—physicians, nurse practitioners, PA’s and midwives—who use ultrasound as part of their practice to help them make impactful clinical decisions.Through this podcast, I will share scanning techniques, tips, and case studies to help you sharpen your skills and optimize your scans.   I will release monthly episodes that will last about 15-30 minutes.   If you’re interested in improving your OB/Gyn ultrasound skills and learning more about the field, make sure to subscribe to *The Seasoned Sonographer* on Apple Podcasts, Spotify, and You Tube.  I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me  @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515  and Instagram instagram.com/sonotechniquesacademy  or send me an email at lynn@sonotechniquesacademy.com. Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.