Dean,
johnrv4 and I both have noticed a dull thud type of noise when we tow sometimes. It seems to gradually go away after towing, but still remains for awhile. For me, it sometimes sounds a little like a a gasser's tappet noise. I've gotten used to it and don't worry about it anymore - it runs great. We think it could be the trucks making electronic/timing adjustments under load conditions, but who knows. We both have 2001 24 valvers, by the way. His is an ETH, mine is an ETC. I've heard things like this from other guys, too. I wonder if some of us are just more sensitive to these noises than others, or maybe not all the trucks do it.
Dave