Entitlement to service connection for bilateral hearing loss is remanded.

Board reasoning

The Board remands for a new VA examination to determine the nature and etiology of any hearing loss, noting the August 2021 exam was inadequate for rating purposes and that the conceded in-service noise exposure may have produced a current disability that requires proper diagnosis and nexus opinion. The Board discusses the need to obtain complete rationale and to address whether puretone testing can yield valid results for this veteran, including potential referral to a different specialist if necessary.