The Board has denied the veteran's claims for service connection for bilateral hearing loss and fibromyalgia. The Board found that there is no evidence of a current disability or a link to military service.,For the remaining issues, including bilateral carpal tunnel syndrome and left leg CRPS, additional medical examination and opinion are needed to determine if these conditions are related to military service.

The Veteran's appeal for service connection for tinnitus and the issues of whether new and material evidence has been received to reopen previously denied claims of entitlement to service connection for bilateral hearing loss and bilateral leg numbness have been withdrawn.,PTSD is currently rated at 30 percent, which is the maximum rating available under Diagnostic Code 9411. The Veteran's PTSD results in occupational and social impairment with deficiencies in most areas due to symptoms such as depressed mood, anxiety, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss, flattened affect, circumstantial speech, difficulty understanding complex commands, impaired judgment, impaired abstract thinking, disturbances of motivation and mood, and difficulty establishing effective relationships.,The Veteran's service-connected residuals of gunshot wound to the right shoulder are currently rated at 30 percent under Diagnostic Code 5303.

The Board found that the Veteran's current bilateral hearing loss did not begin during service or within one year of separation, and thus denied his claim for service connection.

The Board has reopened the Veteran's claims for service connection for bilateral hearing loss and a skin rash to include as due to Agent Orange exposure. The effective date of these decisions is not addressed in this decision.,Service connection for a right knee disability secondary to a left knee disability remains pending, but an earlier effective date prior to October 25, 2007, for the grant of service connection for a left knee disability has been denied.

The Veteran's service connection claim for a cardiovascular disability, based on herbicide exposure during the Vietnam Era, was denied as there is no evidence of such exposure. The Board found that his current cardiovascular disability did not manifest in service or within one year thereafter and there is no competent evidence linking it to his military service.