re: Rooms with high ceilings and no overhead light - who has the best solution?

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That means there is still at least a cavity above the area to be lit.

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It's actually a loft in a bedroom, there is no cavity, it's like the space between 2 sides of a stud wall. the soffet does house the duct work on one side, there's a return in this room and the next.

Thanks for putting that much thought into it. There's a solution there, but agree it's not going to be easy.