In a binary tree, this is a simple birthday attack ($2^{n/2}$). But in a 19-ary tree? The structure changes the combinatorics. The "19" might represent the width at which the generalized birthday paradox becomes surprisingly effective—or surprisingly resistant.
Next time you verify a transaction in a light client, or download a file via BitTorrent, remember: you are standing on the shoulders of a tree with 19 branches, and a mathematician who cared about the 5th decimal of efficiency.
Let’s think of the Merkle root $R$ as a random variable. If an adversary wants to fool you, they need to find two different sets of leaves $(L_1, L_2)$ such that: $$MerkleRoot(L_1) = MerkleRoot(L_2)$$