B(H) is not a twisted groupoid C*-algebra

We show that $B(H)$ for an infinite dimensional Hilbert space $H$ cannot be realized as the reduced twisted $C^*$-algebra of any locally compact Hausdorff étale groupoid.
The proof is based on the canonical conditional expectation $$C_r^*(G,\Sigma)\to C_0(G^{(0)})$$ and a structural analysis of the resulting diagonal subalgebra inside $B(H)$. We show that this diagonal must be an atomic abelian von Neumann algebra, and then exclude both possibilities for its spectrum.
If the unit space is finite, one obtains a tracial state on $C_r^*(G,\Sigma)$, which is impossible for $B(H)$. If it is infinite, the groupoid structure forces a block-sparsity phenomenon for compactly supported sections, which is incompatible with $B(H)$.
This provides the first examples of $C^*$-algebras that cannot be realized as reduced twisted étale groupoid $C^*$-algebras.