Evidence Checklist: Pneumothorax Residuals

Pulmonary function tests (PFTs) documenting residual impairmentCritical

Spirometry and DLCO documenting any persistent restrictive or obstructive impairment or reduced diffusing capacity resulting from the pneumothorax and any surgical intervention.

Nexus opinion linking pneumothorax to service ("at least as likely as not")Critical

A medical opinion connecting the pneumothorax to an in-service event such as trauma, blast injury, surgical procedure, positive pressure ventilation during service, or service-connected lung disease.

Chest imaging confirming pneumothorax history and residual pleural changesCritical

Chest X-ray or CT scan from the acute event and current imaging documenting any residual pleural thickening, blebs, bullae, or pleural fibrosis following the pneumothorax.

Surgical records (chest tube, pleurodesis, or thoracoscopic surgery)

Operative and procedural records documenting any chest tube placement, chemical or mechanical pleurodesis, or video-assisted thoracoscopic surgery (VATS) performed to treat the pneumothorax.

Documentation of recurrent pneumothorax episodes

Medical records documenting multiple pneumothorax events, which increase recurrence risk and may support a continuous or higher rating.

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.

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.

Completed DBQ Respiratory ConditionsCritical

Standardized form capturing PFT results, imaging findings, and functional impact of pneumothorax residuals.

Service treatment records (STRs)Critical

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