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Other assets impairments, restructuring and other items - Schedule of Other Assets Impairments, Restructuring and Other Items (Detail) - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Restructuring and Impairment Costs [Line Items]      
Impairment of long-lived tangible assets [1] $ 1,024 $ 28 $ 47
Contingent consideration 303 548 261
Restructuring 74 111 146
Other (14) 30 57
Total $ 1,388 $ 718 $ 512
Impairment, Long-Lived Asset, Held-for-Use, Statement of Income or Comprehensive Income [Extensible Enumeration] Impairments Restructuring And Others Impairments Restructuring And Others Impairments Restructuring And Others
[1] Including impairments related to exit and disposal activities.