Introduction
Diseases of the mitral and tricuspid valve are more and more recognized as a significant cause of morbidity and mortality and are in the scope of new treatment strategies for structural heart interventions1,2. Despite the triumphal march of cardiac CT and MRT, echocardiography is still the most widely available first-line imaging modality for the heart. We present a case of the incidental finding of nonbacterial thrombotic endocarditis of the tricuspid valve in a patient with metastatic pancreatic carcinoma detected by point-of-care echocardiography on a non-cardiological ward.