From MSDN:

Image Files(*.BMP;*.JPG;*.GIF)|*.BMP;*.JPG;*.GIF|All files (*.*)|*.*
Code:
Private Sub button1_Click(ByVal sender As Object, ByVal e As System.EventArgs)
    Dim myStream As Stream = Nothing
    Dim openFileDialog1 As New OpenFileDialog()

    openFileDialog1.InitialDirectory = "c:\"
    openFileDialog1.Filter = "txt files (*.txt)|*.txt|All files (*.*)|*.*"
    openFileDialog1.FilterIndex = 2
    openFileDialog1.RestoreDirectory = True

    If openFileDialog1.ShowDialog() = System.Windows.Forms.DialogResult.OK Then
        Try
            myStream = openFileDialog1.OpenFile()
            If (myStream IsNot Nothing) Then
                ' Insert code to read the stream here.
            End If
        Catch Ex As Exception
            MessageBox.Show("Cannot read file from disk. Original error: " & Ex.Message)
        Finally
            ' Check this again, since we need to make sure we didn't throw an exception on open.
            If (myStream IsNot Nothing) Then
                myStream.Close()
            End If
        End Try
    End If
End Sub