Does the use of computed tomography scenogram alone enable diagnosis in cases of bowel obstruction?

Figure 2 A 49-year-old male patient admitted to the emergency room with complaints of abdominal pain and vomiting. A: In the computed tomography (CT) scenogram, sudden narrowing at the level of the splenic flexure and distension in the proximal and distal colon loops are seen; B: In the coronal CT image, a mass lesion causing a circular increase in wall thickness is seen at the level of the splenic flexure. All three observers reported a possible obstruction at the level of the large intestine.