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

Figure 3 A 56-year-old male patient admitted to the emergency department with complaints of abdominal pain, gas and inability to pass stool. A: In the computed tomography (CT) scanogram, swelling in the midline of the abdomen and folds in the colon loops are seen; B: In the coronal CT image, narrowing in the lower transition zones secondary to sigmoid volvulus is observed (arrow). All three observers reported a possible obstruction at the level of the large intestine.