diff --git a/app/assets/javascript/main.js b/app/assets/javascript/main.js
index e13ff9a6..bae0b862 100644
--- a/app/assets/javascript/main.js
+++ b/app/assets/javascript/main.js
@@ -97,6 +97,7 @@ document.addEventListener('DOMContentLoaded', () => {
   if ($resetLink) {
     $resetLink.addEventListener('click', async (e) => {
       e.preventDefault()
+      sessionStorage.clear()
 
       try {
         const response = await fetch('/prototype-admin/reset-session-data', {
@@ -118,4 +119,97 @@ document.addEventListener('DOMContentLoaded', () => {
       }
     })
   }
+
+  // Reading workflow: delay initial opinion controls to prevent premature clicks
+
+  // When first arriving on a case, users should be prevented from giving an opinion for a period of time. On NBSS this is 30 seconds, but for the prototype is set to 5 seconds to avoid being annoying whilst testing.
+  const opinionForm = document.querySelector('[data-reading-opinion-form]')
+  if (opinionForm) {
+    const eventId = opinionForm.dataset.eventId
+    if (eventId) {
+      try {
+        if (opinionForm.dataset.readingOpinionLocked !== 'true') {
+          opinionForm.classList.remove('app-reading-opinion--locked')
+          opinionForm.dataset.readingOpinionLocked = 'false'
+          return
+        }
+
+        // Key by date + batch + event so resets and new batches re-lock
+        const batchId = opinionForm.dataset.batchId || 'no-batch'
+        const todayKey = new Date().toISOString().slice(0, 10)
+        const unlockKey = `readingOpinionUnlocked:${todayKey}:${batchId}:${eventId}`
+        if (!sessionStorage.getItem(unlockKey)) {
+          sessionStorage.setItem(unlockKey, 'true')
+          opinionForm.classList.add('app-reading-opinion--locked')
+          opinionForm.dataset.readingOpinionLocked = 'true'
+
+          const controls = Array.from(
+            opinionForm.querySelectorAll('button, input, select, textarea')
+          )
+          const interactiveControls = controls.filter((control) => {
+            if (
+              control.tagName.toLowerCase() === 'input' &&
+              control.type === 'hidden'
+            ) {
+              return false
+            }
+
+            return true
+          })
+
+          const linkControls = Array.from(
+            opinionForm.querySelectorAll('.app-button-link')
+          ).filter((control) => control.tagName.toLowerCase() === 'a')
+
+          interactiveControls.forEach((control) => {
+            control.disabled = true
+          })
+
+          linkControls.forEach((control) => {
+            control.setAttribute('aria-disabled', 'true')
+            control.dataset.readingOpinionDisabled = 'true'
+            control.addEventListener('click', (event) => {
+              if (control.dataset.readingOpinionDisabled === 'true') {
+                event.preventDefault()
+              }
+            })
+          })
+
+          setTimeout(() => {
+            interactiveControls.forEach((control) => {
+              control.disabled = false
+            })
+
+            linkControls.forEach((control) => {
+              control.removeAttribute('aria-disabled')
+              control.dataset.readingOpinionDisabled = 'false'
+            })
+
+            opinionForm.classList.remove('app-reading-opinion--locked')
+            opinionForm.dataset.readingOpinionLocked = 'false'
+          }, 5000)
+        } else {
+          opinionForm.classList.remove('app-reading-opinion--locked')
+          opinionForm.dataset.readingOpinionLocked = 'false'
+        }
+      } catch (error) {
+        console.error('Error applying opinion delay:', error)
+      }
+    }
+  }
+
+  // Reading workflow: auto-dismiss temporary opinion banner
+  const opinionBanner = document.querySelector('[data-reading-opinion-banner]')
+  if (opinionBanner) {
+    const delayValue = Number(opinionBanner.dataset.autoCloseDelay)
+    if (!Number.isNaN(delayValue) && delayValue > 0) {
+      const fadeDurationMs = 200
+      setTimeout(() => {
+        opinionBanner.classList.add('app-reading-opinion-banner--fade-out')
+        setTimeout(() => {
+          opinionBanner.remove()
+        }, fadeDurationMs)
+      }, delayValue)
+    }
+  }
 })
diff --git a/app/assets/sass/components/_reading.scss b/app/assets/sass/components/_reading.scss
index c3ad4d90..660fbc95 100644
--- a/app/assets/sass/components/_reading.scss
+++ b/app/assets/sass/components/_reading.scss
@@ -11,6 +11,8 @@
   padding: 10px;
 }
 
+// Todo: should this be merged with app-status-bar.scss?
+// Todo: otherwise refctor so classes aren't created with &
 .app-reading-status {
   background-color: nhsuk-shade(nhsuk-colour("blue"), 40%);
   color: $nhsuk-reverse-text-colour;
@@ -54,3 +56,107 @@
     }
   }
 }
+
+// Toast message shown after giving an opinion
+.app-reading-opinion-banner {
+  background-color: nhsuk-colour("blue");
+  color: $nhsuk-reverse-text-colour;
+  display: flex;
+  gap: nhsuk-spacing(3);
+  opacity: 1;
+  transition: opacity 0.2s ease-out;
+
+  // Manually chosen to line up with the 'previous case' link
+  left: 17px;
+  top: 10px;
+  max-width: 720px;
+  padding: nhsuk-spacing(3) nhsuk-spacing(3);
+  position: absolute;
+  z-index: 10;
+  // Todo: reinstate this in v11
+  // border-radius: nhsuk-px-to-rem($nhsuk-button-border-radius);
+  border-radius: 4px;
+  filter: drop-shadow(2px 3px 3px nhsuk-tint(nhsuk-colour("black"), 50%));
+}
+
+@media (prefers-reduced-motion: reduce) {
+  .app-reading-opinion-banner {
+    transition: none;
+  }
+}
+
+.app-reading-opinion-banner--fade-out {
+  opacity: 0;
+}
+
+.app-reading-opinion-banner__text {
+  color: $nhsuk-reverse-text-colour;
+  margin: 0;
+}
+
+.app-reading-opinion-banner__link,
+.app-reading-opinion-banner__link:visited,
+.app-reading-opinion-banner__link:hover,
+.app-reading-opinion-banner__link:focus {
+  color: $nhsuk-reverse-text-colour;
+  margin-left: nhsuk-spacing(3);
+  text-decoration: underline;
+  transform: translateY(2px);
+  white-space: nowrap;
+}
+
+// To do: is there a better way of doing inverse links?
+.app-reading-opinion-banner__link:focus,
+.app-reading-opinion-banner__link:active {
+  color: $nhsuk-text-colour;
+}
+
+// Reading workflow: styling for locked state
+// When first arriving on a case, users should be prevented from giving an opinion for a period of time. On NBSS this is 30 seconds, but for the prototype is set to 5 seconds to avoid being annoying whilst testing.
+.js-enabled {
+  .app-reading-opinion--locked,
+  .app-reading-opinion[data-reading-opinion-locked="true"] {
+    cursor: not-allowed;
+
+    * {
+      cursor: not-allowed;
+    }
+
+    button,
+    input[type="button"],
+    input[type="submit"],
+    input[type="radio"],
+    .nhsuk-button,
+    .nhsuk-radios__label,
+    .nhsuk-radios__input,
+    .app-button-link {
+      cursor: not-allowed;
+    }
+
+    .nhsuk-button,
+    .nhsuk-radios__label,
+    .nhsuk-radios__input,
+    button,
+    input[type="button"],
+    input[type="submit"] {
+      opacity: 0.6;
+      pointer-events: none;
+    }
+
+    .app-button-link,
+    .app-button-link:hover,
+    .app-button-link:focus,
+    .app-button-link[aria-disabled="true"],
+    .app-button-link[aria-disabled="true"]:hover,
+    .app-button-link[aria-disabled="true"]:focus,
+    .app-button-link[disabled],
+    .app-button-link[disabled]:hover,
+    .app-button-link[disabled]:focus,
+    .app-button-link:disabled,
+    .app-button-link:disabled:hover,
+    .app-button-link:disabled:focus {
+      color: nhsuk-tint($nhsuk-link-colour, 50%);
+      text-decoration: underline;
+    }
+  }
+}
diff --git a/app/config.js b/app/config.js
index 31634362..4f7bbc59 100644
--- a/app/config.js
+++ b/app/config.js
@@ -48,6 +48,7 @@ module.exports = {
     // Distribution of image set tags (must sum to 1.0)
     // These are the base weights - they get adjusted based on event context
     // (symptoms, imperfect images, etc.)
+    opinionBannerDurationMs: 3000,
     mammogramTagWeights: {
       normal: 0.7,
       abnormal: 0.15,
diff --git a/app/routes/reading.js b/app/routes/reading.js
index c62f4bab..eea793ac 100644
--- a/app/routes/reading.js
+++ b/app/routes/reading.js
@@ -18,6 +18,7 @@ const {
   skipEventInBatch,
   getReadingMetadata
 } = require('../lib/utils/reading')
+const { getShortName } = require('../lib/utils/participants')
 const { camelCase, snakeCase } = require('../lib/utils/strings')
 const dayjs = require('dayjs')
 const generateId = require('../lib/utils/id-generator')
@@ -319,6 +320,18 @@ module.exports = (router) => {
         // Update res.locals.data to reflect the change (it was set before this middleware)
         res.locals.data.imageReadingTemp = data.imageReadingTemp
       }
+
+      // Pass along opinion banner and remove from session
+      // Bypassing req.flash as we couldn't get it to work - possibly due to redirect loops
+      // Not great we're hardcoding these pages. Would be better to have a more general mechanism.
+      if (
+        (req.path.endsWith('/opinion') ||
+          req.path.endsWith('/existing-read')) &&
+        data.readingOpinionBanner
+      ) {
+        res.locals.readingOpinionBanner = data.readingOpinionBanner
+        delete data.readingOpinionBanner
+      }
     }
 
     // Set up locals for templates
@@ -844,6 +857,27 @@ module.exports = (router) => {
       // Get progress to find next event
       const progress = getBatchReadingProgress(data, batchId, eventId)
 
+      // Store banner message for the next case
+      // Bypassing req.flash as we couldn't get it to work - possibly due to redirect loops
+      // Todo: can we get this working with req.flash?
+      const participant = data.participants.find(
+        (person) => person.id === event.participantId
+      )
+      const shortName = getShortName(participant)
+      const resultLabels = {
+        normal: 'Normal',
+        technical_recall: 'Technical recall',
+        recall_for_assessment: 'Recall for assessment'
+      }
+      const resultLabel = resultLabels[formData.result] || 'Opinion'
+      const message = `${resultLabel} opinion recorded for ${shortName}`
+
+      data.readingOpinionBanner = {
+        text: message,
+        participantName: `${shortName}`, // This didn't work when used directly - coerced to string instead.
+        editHref: `/reading/batch/${batchId}/events/${eventId}/existing-read`
+      }
+
       // Redirect to next event or batch view
       if (progress.hasNextUserReadable) {
         res.redirect(
diff --git a/app/views/_includes/reading/opinion-banner.njk b/app/views/_includes/reading/opinion-banner.njk
new file mode 100644
index 00000000..57b2ebab
--- /dev/null
+++ b/app/views/_includes/reading/opinion-banner.njk
@@ -0,0 +1,11 @@
+{# app/views/_includes/reading/opinion-banner.njk #}
+{# Temporary banner shown after recording the previous opinion #}
+
+{% if readingOpinionBanner %}
+  <div class="app-reading-opinion-banner" data-reading-opinion-banner="true" data-auto-close-delay="{{ data.config.reading.opinionBannerDurationMs }}">
+    <p class="app-reading-opinion-banner__text">{{ readingOpinionBanner.text }}</p>
+    <a class="app-reading-opinion-banner__link" href="{{ readingOpinionBanner.editHref }}">
+      Review<span class="nhsuk-u-visually-hidden"> opinion for {{ readingOpinionBanner.participantName }}</span>
+    </a>
+  </div>
+{% endif %}
\ No newline at end of file
diff --git a/app/views/_includes/reading/workflow-navigation.njk b/app/views/_includes/reading/workflow-navigation.njk
index 88889b8f..fa2515a2 100644
--- a/app/views/_includes/reading/workflow-navigation.njk
+++ b/app/views/_includes/reading/workflow-navigation.njk
@@ -4,6 +4,8 @@
 {# Previous/next case navigation #}
 {% if progress.hasPreviousUserReadable or progress.hasNextUserReadable %}
   <div class="nhsuk-grid-row app-position-relative nhsuk-u-margin-bottom-3">
+    {# Toast message for previously read case #}
+    {% include "_includes/reading/opinion-banner.njk" %}
     <div class="nhsuk-grid-column-two-thirds">
       {% if progress.hasPreviousUserReadable %}
         {# Link to event base URL - route handles redirect to existing-read or opinion #}
diff --git a/app/views/_includes/summary-lists/medical-info-summary.njk b/app/views/_includes/summary-lists/medical-info-summary.njk
index 5e6937d1..bbd2408f 100644
--- a/app/views/_includes/summary-lists/medical-info-summary.njk
+++ b/app/views/_includes/summary-lists/medical-info-summary.njk
@@ -5,12 +5,12 @@
   
   Parameters:
     - allowEdits: boolean - whether to show action links (default: true)
+    - showOnlyPopulated: boolean - only show rows with data (default: false)
     - contextUrl: string - base URL for action links (required if allowEdits)
     - currentUrl: string - current page URL for referrer tracking
 #}
 
-{% set allowEdits = allowEdits if allowEdits is defined else true %}
-
+{# Medical history summary #}
 {# Count medical history items #}
 {% set medicalHistoryCount = event.medicalInformation.medicalHistory | countMedicalHistoryItems %}
 
@@ -35,6 +35,7 @@
 {# Build referrer chain for add journey: confirmation -> review #}
 {% set medicalHistoryAddReferrerChain = currentUrl | appendReferrer(contextUrl + "/confirm-information/medical-history") %}
 
+{# Symptoms summary #}
 {# Count symptoms #}
 {% set symptomsCount = event.medicalInformation.symptoms | length %}
 
@@ -59,6 +60,7 @@
 {# Build referrer chain for add journey: confirmation -> review #}
 {% set symptomsAddReferrerChain = currentUrl | appendReferrer(contextUrl + "/confirm-information/symptoms") %}
 
+{# Breast features summary #}
 {# Count breast features #}
 {% set rawBreastFeatures = event.medicalInformation.breastFeaturesRaw | parseJsonString %}
 {% set breastFeatures = event.medicalInformation.breastFeatures or rawBreastFeatures %}
@@ -82,12 +84,14 @@
   {% endif %}
 {% endset %}
 
+{# Previous mammograms summary #}
 {# Count additional mammograms #}
 {% set additionalMammogramsCount = event.previousMammograms | length %}
 
 {# Build referrer chain for add journey: confirmation -> review #}
 {% set mammogramsAddReferrerChain = currentUrl | appendReferrer(contextUrl + "/confirm-information/previous-mammograms") %}
 
+{# Other relevant information summary #}
 {# Get other relevant information summaries #}
 {% set otherRelevantInfoSummaries = event.medicalInformation | summariseOtherRelevantInformation %}
 {% set otherRelevantInfoCount = otherRelevantInfoSummaries | length %}
@@ -108,92 +112,128 @@
 {% endset %}
 
 {# Build summary list content #}
-{{ summaryList({
-  rows: [
-    {
-      key: {
-        text: "Previous mammograms"
-      },
-      value: {
-        text: "No additional mammograms added" if additionalMammogramsCount == 0 else (additionalMammogramsCount + " additional " + ("mammogram" | pluralise(additionalMammogramsCount)) + " added")
-      },
-      actions: {
-        items: [
-          {
-            href: ("./previous-mammograms/add" | urlWithReferrer(mammogramsAddReferrerChain) if additionalMammogramsCount == 0 else "./confirm-information/previous-mammograms" | urlWithReferrer(currentUrl)),
-            text: "Add a mammogram" if additionalMammogramsCount == 0 else "View or change",
-            visuallyHiddenText: "previous mammograms"
-          }
-        ]
-      } if allowEdits
+{% set rows = [] %}
+
+{% if not showOnlyPopulated or additionalMammogramsCount > 0 %}
+  {% set rows = rows | push({
+    key: {
+      text: "Previous mammograms"
+    },
+    value: {
+      text: "No additional mammograms added" if additionalMammogramsCount == 0 else (additionalMammogramsCount + " additional " + ("mammogram" | pluralise(additionalMammogramsCount)) + " added")
+    },
+    actions: {
+      items: [
+        {
+          href: ("./previous-mammograms/add" | urlWithReferrer(mammogramsAddReferrerChain) if additionalMammogramsCount == 0 else "./confirm-information/previous-mammograms" | urlWithReferrer(currentUrl)),
+          text: "Add a mammogram" if additionalMammogramsCount == 0 else "View or change",
+          visuallyHiddenText: "previous mammograms"
+        }
+      ]
+    } if allowEdits
+  }) %}
+{% endif %}
+
+{% if not showOnlyPopulated or medicalHistoryCount > 0 %}
+  {% set rows = rows | push({
+    key: {
+      text: "Medical history"
+    },
+    value: {
+      html: medicalHistoryHtml
     },
-    {
-      key: {
-        text: "Medical history"
-      },
-      value: {
-        html: medicalHistoryHtml
-      },
-      actions: {
-        items: [
-          {
-            href: ("./medical-information/medical-history/type" | urlWithReferrer(medicalHistoryAddReferrerChain) if medicalHistoryCount == 0 else "./confirm-information/medical-history" | urlWithReferrer(currentUrl)),
-            text: "Add medical history" if medicalHistoryCount == 0 else "View or change",
-            visuallyHiddenText: "medical history"
-          }
-        ]
-      } if allowEdits
+    actions: {
+      items: [
+        {
+          href: ("./medical-information/medical-history/type" | urlWithReferrer(medicalHistoryAddReferrerChain) if medicalHistoryCount == 0 else "./confirm-information/medical-history" | urlWithReferrer(currentUrl)),
+          text: "Add medical history" if medicalHistoryCount == 0 else "View or change",
+          visuallyHiddenText: "medical history"
+        }
+      ]
+    } if allowEdits
+  }) %}
+{% endif %}
+
+{% if not showOnlyPopulated or symptomsCount > 0 %}
+  {% set rows = rows | push({
+    key: {
+      text: "Symptoms"
     },
-    {
-      key: {
-        text: "Symptoms"
-      },
-      value: {
-        html: symptomsHtml
-      },
-      actions: {
-        items: [
-          {
-            href: ("./medical-information/symptoms/add" | urlWithReferrer(symptomsAddReferrerChain) if symptomsCount == 0 else "./confirm-information/symptoms" | urlWithReferrer(currentUrl)),
-            text: "Add symptoms" if symptomsCount == 0 else "View or change",
-            visuallyHiddenText: "symptoms"
-          }
-        ]
-      } if allowEdits
+    value: {
+      html: symptomsHtml
     },
-    {
-      key: {
-        text: "Breast features"
-      },
-      value: {
-        html: breastFeaturesHtml
-      },
-      actions: {
-        items: [
-          {
-            href: contextUrl + "/medical-information/record-breast-features" | urlWithReferrer(currentUrl),
-            text: "Add breast features" if breastFeaturesCount == 0 else "View or change",
-            visuallyHiddenText: "breast features"
-          }
-        ]
-      } if allowEdits
+    actions: {
+      items: [
+        {
+          href: ("./medical-information/symptoms/add" | urlWithReferrer(symptomsAddReferrerChain) if symptomsCount == 0 else "./confirm-information/symptoms" | urlWithReferrer(currentUrl)),
+          text: "Add symptoms" if symptomsCount == 0 else "View or change",
+          visuallyHiddenText: "symptoms"
+        }
+      ]
+    } if allowEdits
+  }) %}
+{% endif %}
+
+{% if not showOnlyPopulated or breastFeaturesCount > 0 %}
+  {% set rows = rows | push({
+    key: {
+      text: "Breast features"
     },
-    {
-      key: {
-        text: "Other relevant information"
-      },
-      value: {
-        html: otherRelevantInfoHtml
-      },
-      actions: {
-        items: [
-          {
-            href: ("./confirm-information/other-relevant-information") | urlWithReferrer(currentUrl),
-            text: "View or change",
-            visuallyHiddenText: "other relevant information"
-          }
-        ]
-      } if allowEdits
-    }
-  ]
-}) }}
+    value: {
+      html: breastFeaturesHtml
+    },
+    actions: {
+      items: [
+        {
+          href: contextUrl + "/medical-information/record-breast-features" | urlWithReferrer(currentUrl),
+          text: "Add breast features" if breastFeaturesCount == 0 else "View or change",
+          visuallyHiddenText: "breast features"
+        }
+      ]
+    } if allowEdits
+  }) %}
+{% endif %}
+
+{% if not showOnlyPopulated or otherRelevantInfoCount > 0 %}
+  {% set rows = rows | push({
+    key: {
+      text: "Other relevant information"
+    },
+    value: {
+      html: otherRelevantInfoHtml
+    },
+    actions: {
+      items: [
+        {
+          href: ("./confirm-information/other-relevant-information") | urlWithReferrer(currentUrl),
+          text: "View or change",
+          visuallyHiddenText: "other relevant information"
+        }
+      ]
+    } if allowEdits
+  }) %}
+{% endif %}
+
+{# Final summary list rows #}
+{# Rebuild rows so we can add a no-border class to the final row #}
+{% set rowsForSummaryList = [] %}
+{% for row in rows %}
+  {% if loop.last %}
+    {% set rowsForSummaryList = rowsForSummaryList | push({
+      key: row.key,
+      value: row.value,
+      actions: row.actions,
+      classes: "nhsuk-summary-list__row--no-border"
+    }) %}
+  {% else %}
+    {% set rowsForSummaryList = rowsForSummaryList | push(row) %}
+  {% endif %}
+{% endfor %}
+
+{% if rowsForSummaryList | length == 0 %}
+  <p class="nhsuk-body">No medical information recorded.</p>
+{% else %}
+  {{ summaryList({
+    rows: rowsForSummaryList
+  }) }}
+{% endif %}
diff --git a/app/views/_includes/summary-lists/medical-information/symptoms/summary.njk b/app/views/_includes/summary-lists/medical-information/symptoms/summary.njk
index db702619..a71f7ae1 100644
--- a/app/views/_includes/summary-lists/medical-information/symptoms/summary.njk
+++ b/app/views/_includes/summary-lists/medical-information/symptoms/summary.njk
@@ -135,7 +135,7 @@
           }
         ]
       } if allowEdits,
-      classes: "nhsuk-summary-list--no-border" if loop.last
+      classes: "nhsuk-summary-list__row--no-border" if loop.last
     }) %}
   {% endfor %}
 
diff --git a/app/views/reading/workflow/existing-read.html b/app/views/reading/workflow/existing-read.html
index 863452ef..1b9e539a 100644
--- a/app/views/reading/workflow/existing-read.html
+++ b/app/views/reading/workflow/existing-read.html
@@ -8,8 +8,6 @@
 
 {% block pageContent %}
 
-
-
   <span class="nhsuk-caption-l">
     {{ participant | getFullName }}
   </span>
@@ -32,13 +30,15 @@ <h1 class="nhsuk-heading-l">{{ pageHeading }}</h1>
 
 
   {# Medical summary #}
+  {# Only show rows that have data #}
+  {% set showOnlyPopulated = true %}
+  {# No edits allowed in image reading #}
   {% set allowEdits = false %}
   {% set medicalSummaryHtml %}
     {% include "_includes/summary-lists/medical-info-summary.njk" %}
   {% endset %}
 
   {{ card({
-    classes: "nhsuk-u-margin-top-8",
     heading: "Medical summary",
     headingLevel: "2",
     feature: true,
diff --git a/app/views/reading/workflow/opinion.html b/app/views/reading/workflow/opinion.html
index 94a2dd83..9b0637fd 100644
--- a/app/views/reading/workflow/opinion.html
+++ b/app/views/reading/workflow/opinion.html
@@ -9,6 +9,7 @@
 
 {% block pageContent %}
 
+
   {# Get existing read data for this user (saved read) #}
   {% set existingRead = event | getReadForUser %}
   {% set existingResult = existingRead.result %}
@@ -101,7 +102,9 @@ <h1 class="nhsuk-heading-l js-image-count">
   {# Opinion form #}
   {% set questionText = "What is your opinion of these images?" %}
 
-  <form action="./opinion-answer" method="POST">
+  {# Opinion form data attributes are used to manage the first-load lockout #}
+  {# Todo: do we need a form here? is the parent layout's form not enough? #}
+  <form action="./opinion-answer" method="POST" class="app-reading-opinion" data-reading-opinion-form="true" data-reading-opinion-locked="{{ 'false' if hasExistingOpinion else 'true' }}" data-event-id="{{ event.id }}" data-batch-id="{{ batch.id if batch }}">
 
     {# Hidden field to track previous result for change detection #}
     <input type="hidden" name="imageReadingTemp[previousResult]" value="{{ currentResult }}">
@@ -210,17 +213,17 @@ <h2>{{ questionText }}</h2>
 
   </form>
 
-{# Medical summary #}
-  {# <hr class="nhsuk-section-break nhsuk-section-break--l nhsuk-section-break--visible"> #}
-
+  {# Medical summary #}
+  {# Only show rows that have data #}
+  {% set showOnlyPopulated = true %}
+  {# No edits allowed in image reading #}
   {% set allowEdits = false %}
+
   {% set medicalSummaryHtml %}
- 
     {% include "_includes/summary-lists/medical-info-summary.njk" %}
   {% endset %}
 
   {{ card({
-    classes: "nhsuk-u-margin-top-8",
     heading: "Medical summary",
     headingLevel: "2",
     feature: true,
diff --git a/app/views/reading/workflow/recall-for-assessment-details.html b/app/views/reading/workflow/recall-for-assessment-details.html
index 3cca0b1d..3f927d89 100644
--- a/app/views/reading/workflow/recall-for-assessment-details.html
+++ b/app/views/reading/workflow/recall-for-assessment-details.html
@@ -165,7 +165,7 @@ <h1 class="nhsuk-heading-l js-image-count">
     <div class="nhsuk-grid-column-two-thirds">
 
       {{ button({
-        text: "Confirm opinion and continue"
+        text: "Continue"
       }) }}
 
     </div>
diff --git a/app/views/reading/workflow/technical-recall.html b/app/views/reading/workflow/technical-recall.html
index c1f4e547..ab18c9c6 100644
--- a/app/views/reading/workflow/technical-recall.html
+++ b/app/views/reading/workflow/technical-recall.html
@@ -11,7 +11,7 @@
 
 {% set pageHeading = "Technical recall" %}
 
-{% set gridColumn = "nhsuk-grid-column-two-thirds" %}
+{% set gridColumn = "nhsuk-grid-column-full" %}
 
 {# POST to route handler that cleans up unselected views before redirecting to review #}
 {% set formAction = './technical-recall-answer' %}
@@ -53,7 +53,8 @@ <h1 class="nhsuk-heading-l js-image-count">
   {% endfor %}
 
   {# Build checkbox items with conditional fields for each view #}
-  {% set checkboxItems = [] %}
+  {% set rightCheckboxItems = [] %}
+  {% set leftCheckboxItems = [] %}
   {% set currentTechRecall = data.imageReadingTemp.technicalRecall.views | default({}) %}
 
   {% for viewCode in views %}
@@ -81,28 +82,52 @@ <h1 class="nhsuk-heading-l js-image-count">
       }) }}
     {% endset %}
 
-    {% set checkboxItems = checkboxItems | push({
+    {% set checkboxItem = {
       value: viewCode,
       text: viewCode,
       checked: viewData.reason,
       conditional: {
         html: conditionalHtml
       }
-    }) %}
+    } %}
+
+    {% if viewCode | first == "R" %}
+      {% set rightCheckboxItems = rightCheckboxItems | push(checkboxItem) %}
+    {% else %}
+      {% set leftCheckboxItems = leftCheckboxItems | push(checkboxItem) %}
+    {% endif %}
   {% endfor %}
 
-  {{ checkboxes({
-    idPrefix: "technicalRecall-selectedViews",
-    name: "imageReadingTemp[technicalRecall][selectedViews]",
-    fieldset: {
-      legend: {
-        text: "Which views need to be retaken?",
-        classes: "nhsuk-fieldset__legend--m",
-        isPageHeading: false
-      }
-    },
-    items: checkboxItems
-  }) }}
+  {% call fieldset({
+    legend: {
+      text: "Which views need to be retaken?",
+      classes: "nhsuk-fieldset__legend--m",
+      isPageHeading: false
+    }
+  }) %}
+
+    <div class="nhsuk-grid-row">
+      <div class="nhsuk-grid-column-one-half">
+        <h2 class="nhsuk-heading-s">Right breast</h2>
+
+        {{ checkboxes({
+          idPrefix: "technicalRecall-selectedViews-right",
+          name: "imageReadingTemp[technicalRecall][selectedViews]",
+          items: rightCheckboxItems
+        }) }}
+      </div>
+      <div class="nhsuk-grid-column-one-half">
+        <h2 class="nhsuk-heading-s">Left breast</h2>
+
+        {{ checkboxes({
+          idPrefix: "technicalRecall-selectedViews-left",
+          name: "imageReadingTemp[technicalRecall][selectedViews]",
+          items: leftCheckboxItems
+        }) }}
+      </div>
+    </div>
+
+  {% endcall %}
 
   {{ button({
     text: "Continue"