Evidence Checklist: Toxic Nodular Goiter
DC 7901
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Thyroid ultrasound showing nodulesCritical
Imaging study documenting the size, number, and characteristics of thyroid nodules.
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.
Fine-needle aspiration biopsy results
Pathology results from fine-needle aspiration of thyroid nodules to rule out malignancy and confirm diagnosis.
Treating Physician
Documentation of compression symptoms (dysphagia, dyspnea)
Medical records documenting difficulty swallowing, breathing problems, or voice changes caused by an enlarged thyroid compressing adjacent structures.
Treatment Records
Thyroid function labs documenting dysfunctionCritical
Laboratory results showing thyroid hormone levels and TSH, documenting the degree of hyperthyroidism caused by the toxic nodules.
Treatment records (medication, radioactive iodine, surgery)
Records documenting antithyroid medications, radioactive iodine treatment, or thyroidectomy, and ongoing management.
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.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Thyroid and Parathyroid ConditionsCritical
Standardized form capturing thyroid function, nodule characteristics, and treatment.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.