Hematuria is the presence of blood in the urine and may be macroscopic or microscopic. This study was conducted to assess the role of CT and MRI in evaluating causes of hematuria. This study was a cross-sectional observational hospital-based study including 50 cases of hemturia. It was carried out from March 2016 to June 2018 at Fayoum University Hospital and Fayoum General Hospital. Out of the 50 cases, 47 (94.0%) with variety of UT abnormalities were identified. Renal masses were the most abnormalities detected 19/47 (40.0%), followed by bladder masses15/47 (31.9%), urolithiasis 10/47 (21.3%) and renal injury 3/47(6.4%). No abnormalities were found in 3/50 (6%) of the patients with hematuria. This study revealed the following findings; Both CTU and MRU can detect stones, but CTU can also differentiate types of stones by measuring their denisities. Both CTU and MRU can diagnose urinary tract neoplasms, MRU is more useful in tissue discrimination, as MRU offers superior soft tissue resolution and CTU is more helpful in local staging.