The closest OpenCV solution to your question is the morphological closing or opening.
Say you have white regions in your image that you need to remove. You can use morphological opening. Opening is erosion + dilation, in that order. Erosion is when the white regions in your image are shrunk. Dilation is (the opposite) where white regions in your image are enlarged. When you perform an opening operation, your small white region is eroded until it vanishes. Larger white features will not vanish but will be eroded from the boundary. The subsequent dilation step restores their original size. However, since the small element(s) vanished during the erosion step, they will not appear in the final image after dilation.
For example consider this image where we want to remove the small white regions but retain the 3 large white ellipses. Running the following code removes the white regions and displays the clean image
import cv2
im = cv2.imread('sample.png')
clean = cv2.morphologyEx(im, cv2.MORPH_OPEN, np.ones((10, 10)))
cv2.imshwo("Clean image", clean)
The clean image output would be like this.
The command above uses a square block of size 10 as the kernel. You can modify this to suit your requirement. You can even generate a more advanced kernel using the function getStructuringElement().
Note that if your image is inverted, i.e., with black noise on a white background, you simply need to use the morphological closing operation (cv2.MORPH_CLOSE method) instead of opening. This reverses the order of operation - first the image is eroded and then dilated.