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Normal Prostate MRI Report Template (PI-RADS v2.1)
Normal multiparametric prostate MRI report template with PI-RADS v2.1 wording: zonal anatomy, gland volume and PSA density, and no-lesion PI-RADS 1-2 language.
EXAMINATION: MRI prostate without and with intravenous contrast (multiparametric). CLINICAL HISTORY: [indication]. PSA [x] ng/mL. COMPARISON: None available. TECHNIQUE: Multiplanar T2-weighted, diffusion-weighted (high b-value and ADC map) and dynamic contrast-enhanced imaging of the prostate, acquired and interpreted per PI-RADS v2.1. FINDINGS: Prostate size: [x] x [x] x [x] cm; calculated volume [x] cc. PSA density [x] ng/mL/cc. Peripheral zone: Homogeneous T2 hyperintensity. No focal lesion with restricted diffusion or focal early enhancement. Transition zone: Benign-appearing nodular hyperplasia. No circumscribed, homogeneously T2-hypointense lesion and no focal restricted diffusion. Seminal vesicles: Symmetric, with normal signal. No invasion. Prostatic capsule: Intact. No extraprostatic extension. Neurovascular bundles: Symmetric. Lymph nodes: No pelvic lymphadenopathy by size criteria. Bones: No suspicious osseous lesion in the imaged pelvis. Bladder and rectum: Unremarkable. IMPRESSION: 1. No focal lesion suspicious for clinically significant prostate cancer. PI-RADS v2.1 category [1/2]. 2. Prostate volume [x] cc; PSA density [x] ng/mL/cc.
Dictation notes
- Report gland volume and PSA density on every study — in a PI-RADS 1-2 examination the density is what lets the urologist defer biopsy with confidence.
- A transition zone cancer is called on T2 morphology — the “erased charcoal” lenticular lesion — not on diffusion alone; BPH nodules restrict diffusion all day.
- Post-biopsy hemorrhage (T1 hyperintense) both mimics and masks tumor — check the T1 images first, and recommend a 6-week interval when hemorrhage degrades the study.
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