Those spots are too large to be ich. Sometimes, ich will cause a localized skin reaction that makes the spot become larger, but these spots look to large to be that.
So, what are they? Tough to say. Flukes typically don't cause noticeable spots. Minor injuries, sometimes with secondary bacterial infections can cause spots like this, but you don't want to rush into treatments (because most treatments have side effects).
At this point, I'd say watch the spots for a few days and if you don't see any new ones develop, just keep watching them. If the fish shows more spots, or other symptoms (rapid breathing, not eating well or scratching) then you may need to go the treatment route. In that case, your differential diagnosis would be bacterial infection or possibly flukes.
Jay