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Click Markup > Draw > Ellipse .
For filled ellipses, click Markup > Draw > Filled Ellipse .
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Click the mouse at one corner of the bounding box of the ellipse, and drag the mouse to draw the ellipse.
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When the ellipse is the size you want it, release the mouse button.
If you are drawing a filled ellipse, the shape is immediately filled with the layer color when you release the mouse button.