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Fig. 4 —33-year-old woman with history of borderline malignant tumor of ovary. Sonographic image obtained immediately before sonographically guided transvaginal aspiration of complex ovarian cystic lesion shows thick irregular walls and septations that had recurred after four transvaginal aspirations. Lesion was surgically removed and at pathologic examination proved to be serous ovarian tumor of borderline malignancy. Calipers 1 and 2 measure lesion dimensions as 7.1 and 4.6 cm, respectively.