sihost.exe is a program which is most likely legit. So, if sihost.exe is on your PC, it is most likely ok, and will NOT cause problems. Even if your PC is virus-free, it is still recommended to use a good antivirus with a good track record, in order to defend yourself against viruses and malware.
Usually, the default filename and folder where the application is stored is
C:\windows\system32\sihost.exe.
The MD5 fingerprint for this file is 0c9644276843d331a61a0900c1c13280.
This program is NOT registered as a Windows service. This is good.
sihost.exe appears to have something to do with Windows SFC (System File Checker) or Windows File Protection.
This is a x64 executable. It runs using the full capacity of modern CPUs.
sihost.exe has a digital signature. Today the large majority of legit software applications are digitally signed.
The digital signature extracted from sihost.exe checks out perfectly. This is very good.
Digital certificate name: Microsoft Windows
Certificate's issuer name: Microsoft Windows Production PCA 2011
This program does NOT have an uninstall command stored in registry.