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

Figure 1 A 79-year-old male patient admitted to the emergency department with a complaint of abdominal pain that was more pronounced in the left groin. A: Computed tomography (CT) scenogram image shows distension in the small intestine segments; B: Axial CT image shows an incarcerated femoral hernia in the left femoral region (arrow). The first observer, who looked at the scenogram images, reported that there was a possible obstruction at the large intestine level, and the 2^nd and 3^rd observers reported that there was a possible obstruction at the level of the small intestine.