Here's an excerpt from "An evaluation of airport x-ray backscatter units based on image characteristics" (PDF file) by Leon Kaufman and Joseph W. Carlson in Journal of Transportation Security:
It is very likely that a large (15-20 cm in diameter), irregularly-shaped, cm-thick pancake with beveled edges, taped to the abdomen, would be invisible to this technology, ironically, because of its large volume, since it is easily confused with normal anatomy. Thus, a third of a kilo of PETN, easily picked up in a competent pat down, would be missed by backscatter "high technology". Forty grams of PETN, a purportedly dangerous amount, would fit in a 1.25 mm-thick pancake of the dimensions simulated here and be virtually invisible. Packed in a compact mode, say, a 1 cm×4 cm×5 cm brick, it would be detected.The downloadable article includes multiple illustrations illustrating the relevant principles.
The images are very sensitive to the presence of large pieces of high Z material, e. g., iron, but unless the spatial resolution is good, thin wires will be missed because of partial volume effects. It is also easy to see that an object such as a wire or a box- cutter blade, taped to the side of the body, or even a small gun in the same location, will be invisible. While there are technical means to mildly increase the conspicuity of a thick object in air, they are ineffective for thin objects such as blades when they are aligned close to the beam direction.