Sound trouble....

I recently returned to CF after a couple of months off and now my sound is all screwed up. It was ok last time I played, but now I get a very annoying echo-type effect. It happens the entire time CF is open, (server select screen, in game,etc.), and with every sound. I've updated my drivers and everything else seems to be in order. This is the first time I have ever had an issue with my sound and I play many other games.

My system uses an integrated Realtek High Definition 5.1 Audio card with the latest available drivers downloaded directly from the manufacturer's website. I have Vista Home Basic, running everything as admin, tried both with and without XP compatibility mode enabled.

Nothing I've tried has made a difference, any help is greatly appreciated. Thanks.

EDIT: forgot to add other specs - 3.3 Ghz CPU, 2 Gb RAM, DirectX 10, ATI Radeon XPRESS 1100 graphics

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