Point of care ultrasound is a very useful investigation in ICU for the diagnosis of various diseases as well as monitoring of the complications. As many intensivists have started using it; various new uses are being discovered in ICU setup and its spectrum of application is becoming wide. We report a case of “bilateral pneumonia with empyema and right femoral deep vein thrombosis”, in which psoas muscle hematoma could be diagnosed during a routine bedside sonography during resident teaching. The Ultrasound technique, findings and review of literature have been discussed. Bedside sonography in this case, resulted in earlier detection of psoas hematoma and its drainage. This case emphasises that bedside sonography is a simple investigation in ICU which can help the intensivist in making earlier diagnosis and management and so should be used routinely in critical care set-up. To the best of our knowledge the sonography images are unique and have not been discussed before.

Keywords: Point of care ultrasound (POCUS); Psoas hematoma