Both the severity and location of the condition pretty much rules out an injury.
The fish should be moved to a hospital tank. Although I cannot tell from the photo the exact problem, I can see that if this isn't a bacterial infection, then one will soon follow. Thus treatment with a systemic antibiotic like Maracyn Two for Saltwater fish is something to do immediately.
To be sure the matter hasn't been exacerbated by other stressors, please provide the following information:
How old is your tank? When did it originally cycle?
What is the size (dimensions and gallonage) of your aquarium? Does the gallonage include the volume from the sump and any refugium? Does your system have a sump and/or refugium?
Do you use carbon, skimmer, mechanical or other chemical filtration? List all along with their maintenance.
Do you have live rock in the system? How many pounds or amount and where is it put?
Other than live rock hitchhikers, list all marine life & sizes in the tank (fish, inverts, corals, clams, snails, crabs, shrimp, etc.).
Do you use a quarantine tank and procedure?
Foods you use and feeding schedules.
How long have you had this fish? If the fish was recently acquired (6 weeks or less), two more questions: Did you treat it or give it a dip before it went into the aquarium? How did you acclimate it – what procedure?
Do you use any vitamins? Fat additives? Any elemental or other additives? Please list all.
Chemistries – Do you test for Phosphate, alkalinity, calcium and magnesium? Please give actual current numbers for everything. I would like test kit test results, not dip stick results and actual numbers even if you think all is fine/okay. Have these numbers been changing lately?
Water parameters – please give actual numbers (pH and your pH range, salinity or sp. gr. & range, temperature range)
Water changes (how much and how often).
What is your source water? (Tap water, RO water, DI water, RO/DI, distilled, etc.)
List what you added or taken out of your aquarium system (living, decorations, and equipment) during the past 6 weeks.
Maintenance schedule. What have you done lately?



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