A base station antenna includes an internal radome and a multi-column antenna array antenna. The internal radome can be configured with a plurality of columns, each having an outwardly projecting peak segment and each neighboring column of the internal radome can be separated by a valley. Each outwardly projecting peak segment(s) is oriented to project toward a front of the base station antenna and is positioned medially aligned over a respective column of the multi-column antenna array to thereby reduce mutual coupling of respective elements and/or columns of elements and/or provide a common near field environment for each element and/or each column.