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Evidence checklist

Thyroid Enlargement (Nontoxic Goiter)

DC 790238 CFR § 4.119Endocrine

Evidence strength

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

Target
Saved locally
01

Specialist opinion

Highest value0 of 1 collected
Nexus opinion linking thyroid enlargement to service (iodine exposure, radiation)Critical

Medical opinion connecting goiter to military service, including iodine exposure, radiation, or other toxic exposures.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Records documenting compressive symptoms (dysphagia, hoarseness)

Clinical documentation of compressive symptoms from enlarged thyroid affecting swallowing or voice.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 2 collected
Thyroid ultrasound documenting size and nodule characteristicsCritical

Imaging measuring thyroid volume, nodule count and size, and TIRADS classification of any nodules.

Imaging or lab facility · records request
Thyroid function labs and antibodies (TSH, Free T4, TPO-Ab, Tg-Ab)Critical

Laboratory results documenting thyroid function status and autoimmune cause.

Imaging or lab facility · records request
04

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 →
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
Condition guideRating criteria and what VA looks forBuddy statement builderGuided VA Form 21-10210

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