Conclusion
We present a rare case of severe nonbacterial thrombotic endocarditis affecting the tricuspid valve. Unfortunately, the patient developed severe tricuspid insufficiency in a noticeably short period despite ongoing non-surgical treatment. We want to highlight the unusual and incidental detection of the NTBE in our case by bedside ultrasound on a non-cardiological ward. Our case might emphasize that basic echocardiography even when done in a bedside, point-of care setting without following a formal protocol, can provide insights that help to improve patient management.