Sorry to hear of your struggles
I'd need a better picture to be sure, it looks to be something secondary to velvet.
What other fish do you have?
Keeping expert level fish such as a Moorish idol is probably going to prove difficult without QT. They have about zero resistance to parasites and other ailments, they are also finicky eaters with super high metabolism.
Can you upload some pics under full white light? Does he have a dusty appearance?
There are many great resources in the "Sticky" threads atop this section of the forum in regards to QT if you are interested.