A 76-year-old man with fatigue was admitted to our hospital. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a well-circumscribed mass with delayed heterogeneous enhancement between the pancreas head and the second portion of the duodenum. A surgical resection was performed and a lymphoepithelioma-like carcinoma (LEC) was pathologically confirmed, originating from the head of the pancreas. After the surgery, the patient did not have additional treatment and his LEC did not recur for four years and 10 months. We report MRI and CT findings with histopathologic findings of an extremely rare case of LEC arising from the pancreatic head.