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Intangible Assets - Additional Information (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Goodwill And Intangible Assets Disclosure [Abstract]    
Amortization expense $ 160 $ 165
Estimated amortization charged to income, remaining three quarters of 2019 510  
Estimated amortization charged to income, 2020 657  
Estimated amortization charged to income, 2021 628  
Estimated amortization charged to income, 2022 622  
Estimated amortization charged to income, 2023 609  
Estimated amortization charged to income, 2024 $ 563