The active body control system can leak fluid from numerous areas, including the tandem pump, hydraulic lines, struts, and/or seals. If it is not repaired, the vehicle ride height could drop too low and cause damage to the undercarriage.
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Newest reported 2003 Mercedes-Benz S500 4MATIC problems
A vibration felt through the center floor of the vehicle can be caused by driveshaft flex discs, which crack and shred, causing excessive driveshaft movement. Not repairing these can cause damage to the driveshaft center support bearing, or, in the worst case scenario, damage to the transmission or differential.
The ESP and BAS warning lights may illuminate due to a failed brake light switch. Replacement of the failed switch should correct this concern.
The door for the vanity mirror (or the frame for the door) can break; due to a redesign, the mirror "cassette" will need replacement.