Even in the noncommutative case, we can show that a local ring whose maximal ideal $\mathfrak{m}$ is left principal is a left PIR if and only if $\bigcap_{i \geq 0} \mathfrak{m}^i = 0$ (the conclusion of Krull's intersection theorem).
Recall that a noncommutative ring $R$ is local if the non-units form a left ideal $\mathfrak{m}$ (and in this case $\mathfrak{m}$ is in fact a two-sided ideal). Suppose this maximal ideal is left-principal, say $\mathfrak{m} = Rt$.
The "if" direction follows the same proof as in the commutative case.
For the "only if" direction, suppose that $R$ is a left PIR. Let $I = \bigcap_{i \geq 0} \mathfrak{m}^i$. Since $R$ is a PIR, we have $I = Rx$ for some $x$. Similar to the proof of Krull's intersection theorem in the commutative case, show that $tI =I$ (if $z \in I$, then $z = tz'$ for some $z'$; if $z' \notin I$, then $z' \notin \mathfrak{m}^j$ for some $j$, but then $z \notin \mathfrak{m}^{j+1}$, contradicting $z \in I$). Then there is some $y \in I$ such that $x = ty$. Since $y \in I=Rx$, we have $y=rx$ for some $r$, and thus $x = trx$, or $(1-tr)x=0$. Since $tr \in \mathfrak{m}$, $1-tr$ is a unit, and thus $x=0$ and $I = Rx = 0$.
(I don't even think you need Noetherian to prove this; in case $R$ ends up being a left PIR, Noetherian seems to follow.)