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Engine noise identification

I agree, rocker arm sounding , If motor performance is still good suspect a rocker arm loose,stud pulled etc. If performance is down suspect a stuck exaust valve,
 
4.3 with re-man heads installed..jpg

could be a few things, bad valve lifter (doesn't pump up like it should), bent pushrod/stuck valve, loose rocker retainer bolt, rocker stud pulled out, for a few.
if you are going to go at this familiarize yourself with the procedure for adjusting the hydraulic valve lifters.
 
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