Background: Hydrocephalus is an abnormal accumulation of CSF in the central nervous systemrnby different pathologic causes. Abnormal CSF accumulation causes a rise of intracranial pressurernand results in catastrophic complications unless treated. The management focused on relivingrnraised intracranial pressure using different methods and one of the commonly used methods is arnventriculoperitoneal shunt. Our study direction was to assess brain image evaluation of rnventriculoperitoneal shunt using different imaging. rnMethods: A retrospective cross-sectional study was conducted, on all patients who had arnventriculoperitoneal shunt, and brain imaging was reviewed from 15 Jun 2017 to 2 Mar 2021rnG.C. Data Review of medical records and all the images in the study population during the studyrnperiod was carried out. Information on socio-demographic characters, indication for shunting,rnimaging finding, and related complication were reviewed, using data collected by usingrnstructured questionnaires and image analysis. Data were compiled and analyzed using SPSS 23.0rncomputer software and presented using tables, graphs, and figures. rnResult: In 60 patients we study the age of the participants ranges from 1 month to 55 years, withrna mean of 20.8, and a median of 19. The sex distribution showed 22(36.1%) females andrn38(63.9%) were males. Post-op CT images done in the study period were 45(75%), and shunt tiprngrading analysis showed grade two shunt tip of 28(46.7%) and grade one in 19(31.6%). Fiftyfourrn(90%)rncausesrnof Hydrocephalusrnwerernneoplasm,rnthreern(5%)rncongenital,rnandrnonern(1.6%)rnrnmeningitis.rnrnComplicationsrnwernidentifiedrnin our studyrnwerern12(20%)rnintracranialrnhemorrhage,rnrnfourrn(6.7%)rnventriculitis,rnandrnfivern(8.3%)rnpneumocephalus.rnrnConclusion: Our study showed, most patients had no imaging evaluation after VPS procedure,rnand common imaging used where pre-contrast CT. A common indication for VPS insertion wasrnneoplasm. Complications related to VPS in our study are commonly caused by intracranialrnhemorrhage.