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It can be done with a T47 BB shell and a 30mm crank spindle if you use the right BB. The last bike I built has a T47 shell with the Di2 cables and rear brake hose running through it, and a Wheels Manufacturing external bearing T47 BB.
If you wanted to use BSA68 cups, then you would indeed need a custom BB shell, with at least a 50mm OD and then rather deep steps for the BB threads.
Yes it would. There's just enough space in a T47 BB shell with an external bearing BB to squeeze a hydraulic brake line around the BB shell, depending on which make of BB you use. It's tight, but it's just possible.
If they were using a lugged BB shell I could understand it as there are no lugged T47 shells. But for a full fillet-brazed BB shell it's a bit of an odd one.