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Segments - Summary of Profit by Segments and Reconciliation of Segments Profit to Consolidated Income Before Income Taxes (Detail) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2017
Jun. 30, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Amounts allocated to segments:          
Segment profit     $ (1,637) $ (17,484) $ 2,154
Amounts not allocated to segments:          
Amortization     1,166 1,444 993
Other asset impairments, restructuring and other items     987 1,836 830
Goodwill impairment $ 11,000 $ 6,100 3,027 17,100 900
Intangible asset impairments     1,991 3,238 589
Gain on divestitures, net of divestitures related costs     (66) (1,083) (720)
Inventory step-up       67 383
Other R&D expenses     83 221 426
Costs related to regulatory actions taken in facilities     14 47 153
Legal settlements and loss contingencies     (1,208) 500 899
Other unallocated amounts     366 187 240
Consolidated operating income (loss)     (1,637) (17,484) 2,154
Financial expenses, net     959 895 1,330
Consolidated income (loss) before income taxes     (2,596) (18,379) 824
North America [Member]          
Amounts allocated to segments:          
Segment profit     2,837 4,624 5,536
Amounts not allocated to segments:          
Consolidated operating income (loss)     2,837 4,624 5,536
Europe [Member]          
Amounts allocated to segments:          
Segment profit     1,273 1,029 667
Amounts not allocated to segments:          
Consolidated operating income (loss)     1,273 1,029 667
International Markets [Member]          
Amounts allocated to segments:          
Segment profit     498 426 636
Amounts not allocated to segments:          
Consolidated operating income (loss)     498 426 636
Corporate Segment [Member]          
Amounts allocated to segments:          
Segment profit     4,608 6,079 6,839
Amounts not allocated to segments:          
Consolidated operating income (loss)     4,608 6,079 6,839
Other Segments [Member]          
Amounts allocated to segments:          
Segment profit     115 (6) 8
Amounts not allocated to segments:          
Goodwill impairment       600  
Consolidated operating income (loss)     115 (6) 8
Segments and Other Activities [Member]          
Amounts allocated to segments:          
Segment profit     4,723 6,073 6,847
Amounts not allocated to segments:          
Consolidated operating income (loss)     $ 4,723 $ 6,073 $ 6,847