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Segment Information - Reconciliation of Segments Operating Income to Consolidated Income (Detail) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Segment Reporting Information [Line Items]        
Operating Income $ 8,105 $ 5,926 $ 24,255 $ 21,265
Acquisition and integration related charges (52) 0 (52) 0
Severance charges 0 (1,733) 0 (1,733)
Other components of net periodic benefit charges (8) (8) (24) (25)
Asset and business rationalization 0 (374) 0 (374)
Legacy legal matter 0 0 0 (106)
Equity in losses of unconsolidated businesses (6) (24) (3) (47)
Other income, net 92 72 292 198
Interest expense (1,664) (1,672) (4,935) (5,005)
Income Before Provision For Income Taxes 6,527 4,302 19,609 16,411
Operating Segments        
Segment Reporting Information [Line Items]        
Operating Income 8,301 8,169 24,670 24,044
Corporate and other        
Segment Reporting Information [Line Items]        
Operating Income $ (136) $ (128) $ (339) $ (541)