Hi guys, I have a 2003 1500HD LQ4 with 295000KM. It runs really well most of the time, save for a couple little intermittent issues. Occasionally at idle, out of the blue it will go into an extremely rough idle - as if it's dead missing on several cylinders and then clear right up. It's so intermittent that I haven't been able to catch it on my scan tool. The truck also sometimes slightly misses under light acceleration - it's got a performance muffler and I can hear it sputter when gently accelerating at low speeds. The truck has lots of new parts that I have installed in the past to get my LTFT's down: New upstream O2 sensors (both cycling well now), new exhaust manifold gaskets with stainless bolts, new intake manifold gaskets (injectors were checked for debris and cleaned), new injector o-rings. LTFT's are around 3 at idle and 7 ish while cruising which satisfies me, I don't have any reason to believe I have any vacuum leaks.
My next step was going to purchase a fuel pressure gauge and see if the rough idle correlates with a drop in fuel pressure. Any other advice I'm happy to hear, thanks for reading.