It looks like ick getting ready to devastate your tank. I got a Pakistan butterfly that was too big for the qt so I put him right in the big tank. he had a spot just like that on his top fin which I had no idea was a spot I thought it was just a damaged fin. it went away after a week which is when I thought the fin healed, but then all of a sudden a few days later my fish all had white spots and I ended up treating the whole tank, which luckily worked out well and everyone is good now. I'd get another opinion before doing anything i'm no expert, just telling you my experience. I used cupramine (don't know if that's spelled correctly) with the Pakistan, a sailfin tang, and a pearlscale butterfly using the recommended .5 level for 5 weeks and everyone cleared up nicely.