An overnight update, and a Mansfield practice locked out of its own workstation
No one at the practice knew the key already existed. An overnight update changed what the TPM measures, and the workstation now asked for 48 digits that had never been written down anywhere. A Recovery Key ID appeared on the screen. That ID matched an escrow record in the firm's own Entra ID, and that solved the entire problem. Fresh BitLocker metadata was placed on a new disk using repair-bde, and every project file opened normally.