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Board of Veterans' Appeals · AMA series

Service connection for bilateral hearing loss is granted.

July 30, 2026Citation Nr. A26069916Docket 220323-230098va.gov source

  • Bilateral hearing lossGranted
  • Thoracolumbar spine disabilityGranted
  • Left knee disabilityGranted

Board reasoning

The Board relies on supportive private nexus opinions from August 2025 for each condition, finding credible history of in-service exposure or injuries, and that cumulative or specific injuries are at least as likely as not related to service. It notes the VA examination is speculative and less probative, giving weight to the August 2025 private opinions to establish service connection. The reasoning connects the evidence to a favorable nexus for each of the three claimed disabilities without citing statutes or regulations directly in the reasoning sentences.

Issues

  • Bilateral hearing lossGranted
  • Thoracolumbar spine disabilityGranted
  • Left knee disabilityGranted

Authorities

  • 22 Vet. App. 295 (2008)supports probative value of fully articulated medical opinions
  • Stefl v. Nicholson, 21 Vet. App. 120, 124 (2007)requires medical opinions to provide analysis the Board can weigh
  • Shedden v. Principi, 381 F.3d 1163three-element test for service connection

Extracted with gpt-5-nano-2025-08-07. Citations are kept only when they appear in the decision text.