There is a technical service bulletin for the V8 engines regarding a possible problem with the spark plug being ejected from the cylinder head, damaging the threads in the spark plug hole. If the vehicle is under warranty, cylinder head replacement is recommended. If the vehicle is out of warranty, Ford authorized the use of a specific thread insert to repair the head.
Problems for specific Ford F-150 years:
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Repairpal verified 1997 Ford F-150 problems
Intermittent rough idle may be caused by the EGR sensor sticking, causing the EGR valve to stay slightly open. Our technicians tell us the valve and sensor must be replaced together to correct this concern.
The EGR orifices in the intake manifold may plug with sludge. If the truck has high mileage, this may cause engine misfire when first accelerating because too much EGR gas is directed into the cylinders of the unplugged orifices. This makes the mixture lean, which causes a gradual stumble that increases in severity until repaired.