Evidence Checklist: Thyroid Enlargement (Nontoxic Goiter)
DC 7902
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
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.
Treatment Records
Records documenting compressive symptoms (dysphagia, hoarseness)
Clinical documentation of compressive symptoms from enlarged thyroid affecting swallowing or voice.
Diagnostic Tests & Lab Results
Thyroid ultrasound documenting size and nodule characteristicsCritical
Imaging measuring thyroid volume, nodule count and size, and TIRADS classification of any nodules.
Thyroid function labs and antibodies (TSH, Free T4, TPO-Ab, Tg-Ab)Critical
Laboratory results documenting thyroid function status and autoimmune cause.
Lay Statements & Personal Documentation
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.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.