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Equity and Accumulated Other Comprehensive Loss - Changes in AOCI (Detail) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]        
Beginning balance     $ 100,575  
Ending balance $ 106,345 $ 97,668 106,345 $ 97,668
Accumulated Other Comprehensive Loss        
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]        
Beginning balance (1,475) (1,287) (923) (1,380)
Other comprehensive income (loss)     71  
Amounts reclassified to net income     2  
Net other comprehensive income (loss) (176) (378) (728) (285)
Ending balance (1,651) $ (1,665) (1,651) $ (1,665)
Foreign  currency translation adjustments        
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]        
Beginning balance     (733)  
Other comprehensive income (loss)     140  
Net other comprehensive income (loss)     140  
Ending balance (593)   (593)  
Unrealized gain (loss) on cash flow hedges        
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]        
Beginning balance     (981)  
Other comprehensive income (loss)     (73)  
Amounts reclassified to net income     60  
Net other comprehensive income (loss)     (13)  
Ending balance (994)   (994)  
Unrealized gain (loss) on fair value hedges        
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]        
Beginning balance     589  
Other comprehensive income (loss)     (801)  
Amounts reclassified to net income     (52)  
Net other comprehensive income (loss)     (853)  
Ending balance (264)   (264)  
Unrealized gain (loss) on marketable securities        
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]        
Beginning balance     (5)  
Other comprehensive income (loss)     4  
Net other comprehensive income (loss)     4  
Ending balance (1)   (1)  
Defined benefit pension and postretirement plans        
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]        
Beginning balance     207  
Amounts reclassified to net income     (6)  
Net other comprehensive income (loss)     (6)  
Ending balance $ 201   $ 201