Background: A head injury is a dangerous condition brought on by structural alterations brought about by mechanical pressures to the scalp, skull, and/or internal organs of the skull. The present study was conducted to evaluate utility of conventional radiography in head injury. Materials & Methods: 50 autopsies of both genders were collected. The radiological reports of skull radiographs and CT scan were collected. Results: Out of 50 cases, X- ray revealed fracture skull in 34 (68%), autopsy in 42 (84%) and CT in 40 (80%) cases. Missed fractures on X- ray skull was 20% and on CT head was 5%. The difference was significant (P< 0.05). Conclusion: The detection of skull fracture on conventional radiograph is an indication of serious intracranial injury. CT is indispensible in the management of acute head injury patients. Skull radiograph is of little benefit when a CT scan is obtained.