The invention belongs to the technical field of medical images, and discloses an intelligent AI PACS system and an examination report information processing method thereof. The intelligent AI PACS system comprises a patient information acquisition module, an image acquisition module, an image classification module, a central control module, a measurement module, an image processing module, an image analysis module, a report generation module, a compression encryption module, a wireless communication module, a data storage module, a terminal module, a synchronous updating module and a display module. All voxel data of a focus can be comprehensively collected through the measurement module, the measurement result is closer to the real volume of the focus, and objectivity and accuracy are high; through the synchronization module, image data of all hospital PACS systems can be synchronized with low cost, a convenient mode is provided for patient transfer, storage and management of self-image data by a patient are realized, and complete image data of the patient are provided for diagnosis of clinicians.