Patient presented for a comprehensive hearing evaluation due to subjective reports of hearing loss, tinnitus, and difficulty understanding speech in noisy environments.  Chief complaint included decreased hearing acuity, particularly in the right ear.  Medical history significant for hypertension, controlled with medication, and no known history of ototoxic drug exposure.  Family history negative for hereditary hearing loss.  Otoscopic examination revealed clear external auditory canals and intact tympanic membranes bilaterally.  Pure-tone audiometry demonstrated a moderate sensorineural hearing loss in the right ear, with thresholds elevated at high frequencies.  Left ear showed mild high-frequency sensorineural hearing loss.  Speech recognition scores were consistent with the degree of hearing loss.  Tympanometry revealed normal middle ear function bilaterally.  Acoustic reflexes were present at normal levels.  Diagnosis of sensorineural hearing loss, right ear greater than left ear, was made.  Patient counseling included discussion of the audiogram findings, potential causes of hearing loss, and management options, including hearing aids and assistive listening devices.  Referral to audiologist for hearing aid evaluation and fitting was recommended.  Patient expressed understanding of recommendations and scheduled a follow-up appointment to discuss further management.