PI-RADS v2.1 Prostate mpMRI — Structured Report

PI-RADS v2.1 deterministic report. Records lesion location, size, sequence scores, and overall PI-RADS category; drives the biopsy management recommendation.

MRIProstatev1PI-RADS v2.1 →

Report inputs

PI-RADS v2.1 deterministic report. Records lesion location, size, sequence scores, and overall PI-RADS category; drives the biopsy management recommendation.

Exam & background

Prostate volume (cc)(cc)

PSA (ng/mL)(ng/mL)

PSA density

Post-biopsy hemorrhage

Lesions

Zone

Side

Level

Largest diameter(mm)

T2 score

DWI score

DCE

Capsular contact (mm)(mm)

Extraprostatic extension & seminal vesicles

Extraprostatic extension

Neurovascular bundle involvement

Extraprostatic fat invasion

Right seminal vesicle invasion

Left seminal vesicle invasion

Bladder neck invasion

Membranous urethra involvement

Pelvic lymph nodes

Obturator

Internal iliac

External iliac

Common iliac

Presacral

Retroperitoneal (non-regional)

Largest node short axis (mm)(mm)

Bones & distant disease

Suspicious osseous lesion(s)

Summary

Lesions1

Overall PI-RADS: ___.

Staging / Classification

Lesions1

Full report

EXAM & BACKGROUND
- Prostate volume (cc): —
- PSA (ng/mL): —
- PSA density: —
- Post-biopsy hemorrhage: —

LESIONS
- Lesions:
  1. —

EXTRAPROSTATIC EXTENSION & SEMINAL VESICLES
- Extraprostatic extension: —
- Neurovascular bundle involvement: —
- Extraprostatic fat invasion: —
- Right seminal vesicle invasion: —
- Left seminal vesicle invasion: —
- Bladder neck invasion: —
- Membranous urethra involvement: —

PELVIC LYMPH NODES
- Obturator: —
- Internal iliac: —
- External iliac: —
- Common iliac: —
- Presacral: —
- Retroperitoneal (non-regional): —
- Largest node short axis (mm): —

BONES & DISTANT DISEASE
- Suspicious osseous lesion(s): —

Lesions: 1

Based on PI-RADS v2.1.

Evidence

PI-RADS v2.1 assigns 1–5 per lesion based on dominant sequence (DWI for PZ, T2 for TZ), with DCE upgrade for PZ 3 and DWI upgrade for TZ 3. — PI-RADS v2.1 (2019)