It's a piece of cake from side and underneath.
Remove oil filter
Drain coolant down past the cooler
Using, IIRC, 5/8 wrench unbolt the 2 motor mount bolts
From the wheel well with long extension unbolt cooler ends
Jack under the strongest part of the oilpan utilizing a block of wood and jack
As the engine comes up it will also tilt to the right making an opening to get the cooler out from the bottom towards the rear.
Get the o-rings from Ford or International. Gaskets you can get from anywhere. If you go to International make sure you tell them it's in a ford truck because international used different ends for other vehicles.
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