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Evidence checklist

Chronic Sinusitis

DC 651038 CFR § 4.97Respiratory

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 3 collected
CT scan of sinuses documenting mucosal diseaseCritical

CT imaging is the gold standard for chronic sinusitis, showing mucosal thickening, opacification, air-fluid levels, or anatomical findings. The Lund-Mackay CT score is commonly used to grade severity.

Private provider · independent opinion
ENT evaluation with nasal endoscopy findingsCritical

An otolaryngologist evaluation including nasal endoscopy documenting mucosal edema, purulent discharge, polyps, or septal deviation contributing to sinus obstruction.

Private provider · independent opinion
Nexus opinion linking chronic sinusitis to service ("at least as likely as not")Critical

A medical opinion connecting your chronic sinusitis to in-service upper respiratory infections, environmental exposures, or traumatic injury to the nose or sinuses during military service.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Documentation of incapacitating episodes requiring antibioticsCritical

Medical records documenting episodes requiring physician-prescribed antibiotics or other prescription treatment. VA rates chronic sinusitis based on the number of incapacitating episodes per year.

VA or private records · written request
Treatment records (antibiotics, corticosteroids, surgery)

Records documenting antibiotic courses, intranasal or systemic corticosteroids, nasal saline irrigation, and any endoscopic sinus surgery (FESS) with operative reports.

VA or private records · written request
03

Lay statements

0 of 2 collected
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx, and PharynxCritical

Standardized form capturing sinusitis findings, incapacitating episode frequency, treatment history, and surgical history.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

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