The Board remands the claim for a left finger disability to provide the Veteran and his representative an opportunity to respond to the reevaluation of whether the presumption of soundness applies, and to obtain a more adequate medical opinion.

The Board has remanded the claims of service connection for left and right finger disabilities, as secondary to service-connected right knee disability. The Veteran's bilateral finger disability is currently on appeal.

The Board denied the Veteran's claim for service connection for a left finger disability, finding that it was not aggravated beyond its natural progression by his military service.

The Veteran's right breast gynecomastia did not result in significantly disabling impairment of the skin and is therefore denied an initial compensable rating.,There is no evidence of a current right ear hearing loss disability for VA purposes, and thus service connection for this condition is denied.,Service connection for left ear hearing loss is also denied as there was no showing of a relationship between the Veteran's military noise exposure and his current hearing loss.,The Veteran's claimed left finger disability did not have its onset during active service and is therefore not service connected.,Similarly, the right finger disability did not have its onset during active service and is also not service connected.,Lumbosacral strain, left elbow disability, and right elbow disability are all denied as there was no showing of a relationship between these conditions and the Veteran's military service.,Left wrist sprain is also denied as it did not have its onset during active service and is not otherwise etiologically related to such service.

The Board denied service connection for right knee, left knee, diabetes, left finger, and acquired psychiatric disorder due to the lack of new and relevant evidence. The claims for sleep apnea and headaches were remanded for further development.