On some visits to our office, you will have the ultrasound exam performed by one of our certified sonographers and then the physician will visit with you to review and discuss the exam. At follow-up visits and some First Trimester Screen visits, you may often see the sonographer only. She will document the ultrasound images, pointing out the size, growth, movement, etc with you. Later, the physician will review the images and send a report to your obstetrician. Of course, if the sonographer sees anything during the exam that concerns her she will have the physician come into your room and review the sonogram.