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Remove it an take to a machine shop. Unless it has an obvious crack which can be seen with the naked eye, you will need to let them check it out. They can determine if it is cracked or warped.

If your truck is a 97 or 98 F150 4.2 V6 your head might not be cracked. The factory gaskets for the intake manifold on my F-150 didn't seal correctly and gave out at 120k miles and replacing the gaskets solved my problem.

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Q: How can you tell if the head is crack on a Ford F-150?
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