O rings shrink with time so now it's leaking and time to rebuild (i've done my dt466, C7, 7.3 powerstroke, 5.9, plus large hyd pump systems) Na it's easy, the only thing is that you are into both liquid systems on the engine, antifreeze and oil, don't get them mixed together and it makes a real mess. The coolant has to be drained of course and it might be a good time to change the oil too. The aluminum gets pitted on the housing so pay close attention to the oring areas and replace if it's pitted real bad where they seal. Getting that thing clean is a bugger so if you can separate the oil cooler from the ends a sandblaster does a great job of that and really brings out the pitted areas for closer inspection(no sandblasting the heat exchanger itself). Also look at the cooler itself and if the coolant went south and clogged it up, then it may need attention or replaced. (if in doubt let a dealer or diesel shop take a look at it) If it's clean then a seal set from a dealer or auto parts store, fresh paint job after cleaning all sand out and it's ready to go back on.
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