adj. something that is said or done that is so repulsive, it can only be conceivably accomplished by someone with a goiter
"I hear Thomas didn't care what the dog was doin'. What a goitered take.
n. an idea or action that is so repulsive it could only have been derived from someone with a goiter
"Harry told me that he'd never stop staying in his room playing fighting games and eating greasy food; that guy's goitpilled."