The 4-Star Dragon Ball Costume from 

Xenoverse returns as an obtainable outfit. Additionally

Gohan's Four-Star Dragon Ball Hat also appears as an obtainable accessory as well.
Other media

The Four-Star Ball in Dragonball Evolution

 In Dragonball Evolution, Goku wishes for Shenron to bring Master Roshi back to life. The
Dragon Balls themselves are dark orange whilst the stars are glowing yellow, rather than red;
also, the stars in each Dragon Ball actually move around the inside (possibly as an adaptation
of the stars looking the same from every angle). In addition to summoning Shenron to have a
wish granted, the Dragon Balls are capable of showing images to someone (an ability never
seen nor mentioned in any other form of media), as in the movie, when Goku takes out the
Four-Star Ball during his last moments with his grandfather, it briefly shows him images of
events to come, and in the video game adaptation, Lord Piccolo uses the ones in his
possession to show Goku an image of the moment Gohan found him (as part of his revealing
Goku's Saiyan heritage to him).
 In the manga Dragon Boy, Dragon Balls are small balls that appear very similar to the balls in
the Dragon Ball series. However, instead of granting wishes, they can be opened
using ki energy to release a small baby dragon that does not grant wishes.
 In the video game series Worms, there is an attack called "Dragon Ball", being very similar to
the Kamehameha. However, said attack is likely based on the Hadouken/Fireball from
the Street Fighter series, as there is another attack called 'Fire punch' which resembles the
Shoryuken/Dragon Punch from the same series. Worms will occasionally shout 'Shoryuken'
when performing the fire punch, as well as donning a red head band in the style of the main
character Ryu when doing both attacks. Additionally, the attacks are called Fireball and
Dragon Punch in the Street Fighter series, and Fire Punch and Dragon Ball in Worms.
 In the anime, Puni Puni Poemi, the main character makes an appearance with a collection of
three Dragon Balls.
 The Dragon Balls are mentioned in the first chapter of the Yu-Gi-Oh! manga.
 In the non-anime show Duck Dodgers, Space Cadet told The Masked Xorro (a parody of
Zorro) that the villagers returned to see reruns of Dragon Ball.

Kohina and friends use the "seven balls of wish-granting"

 In the episode 12 of the anime Gugure! Kokkuri-san, Shenron and the Dragon Balls are
referenced when Kohina's house is destroyed. They used the "Ichimatsu family's seven balls of
wish-granting" to repair it.
Trivia
 In the first volume of the Dragon Ball manga, several characters who are unaware of the
Dragon Balls often mistake them for gonads of the Eternal Dragon itself, when first enlightened
of them. For example, when Bulma reveals the legend for the first time in the series, Goku
follows her remark that "They're called Dragon Balls" with "Y'mean... Some poor dragon...?"
Later, Goku tells Oolong about the tale, to which Oolong comically replies "I didn't even know
 dragons had" before being stopped when Goku shows him one of the artifacts. Giving the
nature of the original Dragon Ball, it was likely meant to be a joke.

The Nine-Star Dragon Ball

 In the cover of the initial chapter of Dragon Ball Super a Dragon Ball was mistakenly drawn
with nine stars, this was removed from later releases.
 In the original censored English version of Dragon Ball Z, there are a few contradictions with
Earth's and Namek's Dragon Balls in "The Return of Goku". Piccolo asks Gohan to wish him
back after his death, despite the fact that he could not be revived if the Dragon Balls were
scattered (and he should not know about Namek's Dragon Balls, yet). Later in the episode,
Gohan states that they "have to wish Piccolo back with the Dragon Balls". Finally, when Bulma
knows that the Dragon Balls are gone, she states that they are going to need the Dragon Balls
"from somewhere else" to wish their friends back (in the uncut version, she realizes that they
are not going to be able to bring them back to life) which also contradicts the fact that they did
not know anything about other Dragon Balls.
 A new set of Dragon Balls has been introduced in each series of Dragon Ball.
 Dragon Ball: Earth Dragon Balls.
 Dragon Ball Z: Namekian Dragon Balls.
 Dragon Ball GT: Black Star Dragon Balls.
 Dragon Ball Super: Super Dragon Balls and Cereal Dragon Balls.
 Dragon Ball Heroes: Dark Dragon Balls.
 Super Dragon Ball Heroes: Special Dragon Balls.
Gallery

The Four-Star ball shining

Roshi's Dragon Ball

Goku with Roshi's Dragon Ball

 Goku checks the Three-Star ball

Goku with a Dragon Ball

Dragon Balls preparing to scatter

The Dragon Balls are scattered

The seven Dragon Balls in Curse of the Blood Rubies

A Dragon Ball in Bulma's bag in Curse of the Blood Rubies

A Dragon Ball on the ground in Curse of the Blood Rubies

Grandpa Gohan's Dragon Ball in Curse of the Blood Rubies

 Five Dragon Balls on Gurumes' tongue

Roshi's Dragon Ball in Curse of the Blood Rubies

Bulma with two Dragon Balls in Curse of the Blood Rubies

The seven Dragon Balls in Curse of the Blood Rubies

The Dragon Balls in Mystical Adventure

Upa with the Four-Star Dragon Ball

The Four-Star Dragon Ball near Korin

Dragon Ball keeping statue activated

 False Dragon Balls in a merchant's shop

Six-Star Dragon Ball being carried by a bird

Pilaf with the Six-Star Dragon Ball in hands

The Five-Star Dragon Ball on the tree

A monkey finds the Five-Star Dragon Ball

Goku with the Five-Star Dragon Ball

Three Dragon Balls in Goku's bag

Goku gets the Four-Star Dragon Ball from Bora

 Goku with the Four-Star Dragon Ball

Two Dragon Balls in the Red Ribbon HQ

Goku with the two Red Ribbon Dragon Balls

Goku finds the One-Star Dragon Ball

Goku catching the Four-Star Dragon Ball before it scatters

The Four-Star Dragon Ball in Tambourine's hand

King Piccolo marvels at the Four-Star Dragon Ball

 Chiaotzu hides the Dragon Balls

The Dragon Balls are gathered in the King Piccolo Saga

The seven Dragon Balls shining

Bulma seeing that the Dragon Balls are active again

Yamcha with a Dragon Ball in its original form

The Dragon Balls in Dead Zone

The seven Dragon Balls in the Kame House.

 Bulma finds a false Dragon Ball on fake Namek

The Dragon Balls in The World's Strongest

The Dragon Balls in The Tree of Might

The Four-Star Dragon Ball on Gohan's hat in Lord Slug

Lord Slug sees the Dragon Balls in Bulma's mind

Medamatcha about to get a Dragon Ball

Slug's