Background: Acute appendicitis is a common surgical combination, and accurate imaging is decisive for diagnosis. This read compares the characteristic truth of ultrasound (US) and calculated imaging (CT) imagery in inch-big patients presenting with symptoms indicative of keen appendicitis.Methods: A prospective study was conducted on 100 adult patients (50 males and 50 females) with a mean age of 35 years (range: 18-60 years). Apiece diligent underwent both ultrasound (US) and cat imagery. The diagnostic Precision sensitivity specificity positive foretelling value (PPV) and negative foretelling value (NPV) of both imaging modalities were calculated and compared.Results: Ultrasound: Sensitivity: 75%, Specificity: 85%, PPV: 81%, NPV: 80%, Accuracy: 79%. CT: Sensitivity: 94%, Specificity: 90%, PPV: 92%, NPV: 93%, Accuracy: 92%. CT imaging demonstrated significantly higher sensitivity (p0.05). Conclusion: CT is more accurate and sensitive for diagnosing acute appendicitis in adults, making it the preferred modality in equivocal cases.