I've personally kind of given up on the all-internal route. I'm beginning to realize that you just tend to give up too much in the process of allowing a radiator or two to sit nicely inside. Things like acoustics, cable-management, aesthetics, accessibility... ever since I went the external route, it's amazing how much easier everything else is to optimize. And as a bonus, it becomes much easier to let both the radiator and the rest of the computer get fresh air for cooling, instead of having to let one settle for the warm stuff.
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