I believe that CT scans are used on most airport checked luggage, but that's not what's used for carry on luggage. CT scans send the x-rays through the object being scanned to show the mass that the radiation has to travel through on that scan path (kind of like density). It's basically a 3D version of the black and white x-rays you'd get for a broken bone.
Airport carry on luggage belt scanners use x-ray fluorescence cameras. The shoot x-rays at the object and observe the reflection (so the beam and observer are on the same side of the object). Since the x-rays penetrate through the object, the reflections come from all parts of it, so they can still get an idea of what's inside, and the fluorescent spectrum also gives an idea of the chemical makeup of what's being observed. The limitation is that beyond a certain depth or density, there isn't much reflection returned, so that technology isn't good for what you're asking about (and that's why air cargo containers get CT scans instead).
The fixed customs CT installations at ports that scan trucks and sea shipping containers usually have a set of both horizontal and vertical beams (and matching imagers) working at different wavelengths. The mobile versions don't have an imager that can go underneath your object, so there's no overhead beam. Here's one from 12 years ago: