Time for an update, not a good one either. I did the measurements on the piston protrusion, I had to go with a 3 hole gasket. I was in a time crunch and I had a composite 3hole on hand, so I installed that one. Fast forward to now, I ran the truck 700 miles, ran great, even took it on a 2 hour drive on the hwy, no issues. A day later I drove it to work, which is 25 miles. No issues again. Temp running about 190-195F. Leaving work, I check the coolant level, and I check the oil level. All good. Take off, drive 5 miles on the highway, and I look down and my temp gauge is at 220F. I immediately turn the engine off and coast to a stop. Get a tow home, check it all, found some hoses not tight, bleed air, drive again. No issues, stop for about 20 minutes to clean up. Restart the truck, same thing, get less than a mile down the road, 220F. Truck is airlocking. I have to bleed the radiator, and all is back to normal. I haven't had a chance to do a pressure test, that will happen in about a week when I have time. I am concerned it's actually a head gasket failure. Is this possible after only 700 miles?