Do CT scans show appendicitis without using contrast fluid?

less accurate. While there is controversy about the liberal use of ct scans for the diagnosis of appendicits, it does increase accuracy of diagnosis. There are several parameters on ct scan that are used to diagnose or exclude appendicitis: visualization of the appendix, free fluid around the appendix, blurred fat or fat stranding around the base of the appendix and free air in the area of the appendix.