My Opteron was running from 27 idle to 67+ load using a Vapochill micro with a 92mm Tornado fan so I guessed the IHS was the problem.
Taking off the IHS was "interesting" I thought caffeine gave you the shakes ... Anyhow I used an old fashioned razor blade and went through the rubber quite afew circuits, I wasnt aware that the 'breather hole' covered so much of one of the sides and was shaken when the blade went through nothing, and was worried abou "what lies beneath". Anyhow after a few laps with the razor blade a scalpel blade could fit under the IHS and evenually I could use the scalpel blade to lever up the IHS off the CPU.
After taking off the IHS the Vapochill would no longer clamp down so I sanded down the "cpu retention mechanism" AKA the black bracket that fits over the socket. I made sure the fit was good but temps were different but no better with idle at 36c and load 62+.
So the cooler was obviously the problem (unless the chip was duff). I've just replaced it with a Big Typhoon (IHS off) which fits well and has no need for the IHS, I've not seen temps go past 29c but have yet to run Prime, but I can heartily reccomend this cooler with IHS less CPU's.
/Edit Load temps have never exceeded 36c, will need to experiment more with overclocking , cant get over how quiet and effective this cooler is