That's interesting. One wonders if those two smaller package parts start to lose intimate interfacing with the heatsink with the thermal cycling of use. It looks like they need to be pulled up to the heatsink by the screws whereas the the heatsink would be resting on the adjacent larger packaged components. But it's hard to see for sure from a picture.That’s frustrating, I have felt your pain before.
This time I’m the shop:
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Note the new components in the upper left (only need two of the three) and all the screws holding the heat sink to the board. I have to replace the two that are “shiny side up” here:
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