I've had the same issue for a good chunk of my life. I have good hearing according to my standard and advanced 'musician' hearing tests (aside from tinnitus).

I've had the same issue for a good chunk of my life. I have good hearing according to my standard and advanced 'musician' hearing tests (aside from tinnitus). But I have trouble focusing on a given conversation in a room full of noise. Places with flat walls reflecting sound make it especially difficult.