Dancing megasperm is the ultrasound finding of continuously oscillating/mobile tiny echogenic foci within dilated tubules of the epididymis. This is seen in post-vasectomy patients and others with obstruction of the spermatic cord and is thought to represent clumps/ clusters of trapped spermatozoa which oscillate due to the turbulence created during ultrasound interrogation of the scrotum 2,3.
Note: a single spermatozoon can only be identified microscopically 3.