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Evidence checklist

Toxic Nodular Goiter

DC 790138 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 3 collected
Thyroid ultrasound showing nodulesCritical

Imaging study documenting the size, number, and characteristics of thyroid nodules.

Private provider · independent opinion
Nexus opinion linking toxic nodular goiter to service ("at least as likely as not")Critical

A medical opinion stating it is "at least as likely as not" (50%+ probability) that your toxic nodular goiter is connected to your military service, including environmental or chemical exposures.

Private provider · independent opinion
Fine-needle aspiration biopsy results

Pathology results from fine-needle aspiration of thyroid nodules to rule out malignancy and confirm diagnosis.

Private provider · independent opinion
02

Treating physician

0 of 1 collected
Documentation of compression symptoms (dysphagia, dyspnea)

Medical records documenting difficulty swallowing, breathing problems, or voice changes caused by an enlarged thyroid compressing adjacent structures.

Your treating provider · written request
03

Treatment records

0 of 2 collected
Thyroid function labs documenting dysfunctionCritical

Laboratory results showing thyroid hormone levels and TSH, documenting the degree of hyperthyroidism caused by the toxic nodules.

VA or private records · written request
Treatment records (medication, radioactive iodine, surgery)

Records documenting antithyroid medications, radioactive iodine treatment, or thyroidectomy, and ongoing management.

VA or private records · written request
04

Lay statements

0 of 1 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 →
05

Benefits questionnaire

0 of 1 collected
Completed DBQ Thyroid and Parathyroid ConditionsCritical

Standardized form capturing thyroid function, nodule characteristics, and treatment.

Provider-completed · VA DBQ formHow to get this →
06

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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