✓ Mathematica : cpu = 0.121711 (sec), leaf count = 25
DSolve[-2*(4 + x^2)*y[x] + x*(8 + x^2)*Derivative[1][y][x] - 4*x^2*Derivative[2][y][x] + x^3*Derivative[3][y][x] == 0,y[x],x]
✓ Maple : cpu = 0.177 (sec), leaf count = 18
dsolve(x^3*diff(diff(diff(y(x),x),x),x)-4*x^2*diff(diff(y(x),x),x)+(x^2+8)*x*diff(y(x),x)-2*(x^2+4)*y(x)=0,y(x))