Tensioner pulley arm? When they start to go they make a racket that can be hard to locate. It's a grasp but you're asking for ideas.
that was one of the first things I checked.
another things, all the balance rates are perfect.
I did find this old TSB in my searching though
Service Bulletin
Bulletin No.: 02-06-01-022A
Date: November 2002
Chevrolet/GMC
Information
Subject: Information on Engine Ticking
Models: 2001-2003 Chevrolet Silverado
2003 Chevrolet Kodiak C4500/C5500 Series
2001-2003 GMC Sierra
2003 GMC Topkick C4500/C5500 Series
with 6.6L Duramax™ Diesel Engine (VIN 1 – RPO LB7)
Some of the above vehicles may exhibit a random ticking noise that is most audible on an engine with a coolant temperature of 70°C (158°F) or higher and from idle to approximately 1500 RPM. The noise usually is most noticeable at the rear of the drivers’ side front wheel well. Customers may also comment about hearing a tick noise inside the vehicle at idle such as when sitting at a drive through window. All 6600 Duramax™ diesel engines have this condition; however, some are more audible than others. Engine build variation from engine to engine contributes to differences in perceived volume. All Duramax™ engines are manufactured to very close tolerances to meet the durability and reliability standards.
This noise is caused by the relationship of the engine cylinder block, crankshaft journals, bearing inserts and the oil film. This relationship may allow a vibration that resonates through the cylinder block and is heard as a metallic ticking noise. The noise could be described as an irregular ticking or clacking sound, like random typing on a mechanical typewriter.
This condition has been present in diesel engines produced for the last 20 or more years. The overall noise reduction in engines produced today makes this noise seem new when, in fact, it was masked by other noises in the past.
Many manufacturers such as Isuzu, Hino, Mitsubishi, and Nissan report a similar condition in their diesel engines. Testing and engine teardowns with this condition reveal no condition that would affect reliability or durability of this engine.
Dealers should not attempt to compare any customer vehicles exhibiting this noise with other similar vehicle as the noise is different from vehicle to vehicle and this may lead to the incorrect conclusion that the vehicle has a condition. Thisnoise is a normaloperating characteristic of the engine. This noise has no short or long term effects on the engine. Do not attempt repairs for this noise.
Important: Replacing the engine or internal components for this noise will not reduce or eliminate the noise.
Please share the information found in this bulletin with customers who inquire about this condition. In they event they have additional questions or concerns, please contact Customer Assistance at the numbers listed below for further information.