My was also not updated and it was updated after 04 to 05 months pf medicals when i sent them a CSI that my medical was done on that date and my Ecas is not updated, i received reply that your medicals have been received and assessed positively, next day my Ecas was also updated , so dont worry.Curmudgeon said:Hey all, I am a Feb 2010 applicant. Completed my medical on 23rd May 2013 but LVO has not changed my e-case to "Medical Received" even after more than two months. Today I have sent them a case specific enquiry. I wonder why are they so slow when it comes to old cases.