Evidence Checklist: Interstitial Lung Disease

High-resolution CT scan of the chestCritical

HRCT imaging showing characteristic interstitial patterns such as ground-glass opacities, reticular changes, honeycombing, or traction bronchiectasis.

PFTs with DLCO testingCritical

Pulmonary function tests including DLCO, which is often the most impaired measurement in interstitial lung disease and drives the VA rating.

Nexus opinion linking interstitial lung disease to service ("at least as likely as not")Critical

A medical opinion connecting your interstitial lung disease to military exposures such as burn pits, chemicals, asbestos, or other toxic substances.

Pulmonologist diagnosis and evaluationCritical

A formal diagnosis from a pulmonologist documenting the type of interstitial lung disease, severity, and prognosis.

Treatment records (medications, oxygen therapy, pulmonary rehab)

Records documenting immunosuppressive therapy, supplemental oxygen requirements, and pulmonary rehabilitation participation.

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.

Completed DBQ Respiratory ConditionsCritical

Standardized form capturing PFT results, DLCO values, imaging findings, and functional limitations from interstitial lung disease.

Documentation of military exposures (burn pits, chemicals, asbestos)

Service records, deployment history, and PACT Act toxic exposure registry enrollment documenting exposure to respiratory hazards during service.

Service treatment records (STRs)Critical

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