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I thought they started building "2004" trucks after July 1, 2003. They put "2003" engines in until 09/29/2003. Might be wrong about the truck, but I feel sure about the engines. Being a 2003 engine, has it had any of the flash updates?
The exhaust leak has been noted to be from the flex pipes connecting the manifolds to the turbo--might check that, best seen with a mechanics mirror.
Rear main leaks are not uncommon--should be a warranty deal, along with any problem with the turbo.
The exhaust leak can be dealer fixed, easy, a re-flash will fix the idles and surge and turbo boost, or they will find a sticky VGT actuator…the oil leak also can be fixed however hat is the one that is the big pain in the butt