In the pancreas, a large amount of lesions with cystic features, both neoplastic and non-neoplastic, could be seen during imaging examinations. Increased detection of cystic pancreatic lesions at cross-sectional imaging has been reported, and it is a widespread everyday experience. The two large subgroups at the beginning evaluation are neoplastic and non-neoplastic. Non-neoplastic pancreatic and peripancreatic cystic lesions will be discussed, and rare pancreatic cystic neoplasms will be presented.