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Glitter sign
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Glitter sign

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Reporting Panel

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Cardiac Pathology

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Case Study

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Glitter in ultrasound refers to the dynamic shimmering or sparkling appearance of numerous tiny echogenic (bright) particles within a fluid-filled lesion during real-time sonography. This phenomenon occurs when the particles move in response to gentle transducer pressure or changes in the patient's position.

These particles may consist of:

• Red blood cells
• Fibrin strands
• Clot fragments
• Proteinaceous or cellular debris

The shimmering appearance results from the changing reflection of ultrasound waves as these suspended particles move within the fluid.

Ultrasound Features: Glitter is the real-time sonographic appearance of mobile, highly reflective intracystic particulate matter that produces a transient sparkling or shimmering effect during ultrasound examination. This dynamic phenomenon is best appreciated when gentle transducer pressure or changes in patient position cause the intracystic particles to move, creating a characteristic glittering appearance.

Sites of Glitter sign

SN	Organ Name	View detailed
1	Breast a-Hemorrhagic cyst b-Complicated cyst with mobile debris c-Resolving hematoma	View
2	Ovary a-Hemorrhagic ovarian cyst b-Retracting clot producing mobile echogenic particles	View
3	Thyroid a-Colloid cysts	View
4	Kidney a-Hemorrhagic renal cyst with mobile internal echoes b-Infected renal cyst	View
5	Liver a-Hemorrhagic or infected hepatic cyst with mobile debris	View
6	Scrotum a-Hematocele b-Complex hydrocele containing blood or fibrin	View

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BREAS
a-Hemorrhagic cyst

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US Report line

A round/oval, well-defined cystic lesion with low-level mobile internal echoes demonstrates a dynamic glitter sign (shimmering echogenic particulate matter) on real-time ultrasound. Posterior acoustic enhancement is present. No mural nodule or internal vascularity is seen on color Doppler. Findings are consistent with a benign hemorrhagic breast cyst (BI-RADS 2).