Symphysodon discus. Photographs of a discus with moderate hole-in-the-head infection. Head-on view of the same fish. Note bilaterally symmetrical holes.

Source:

Paull, G C; Matthews, R A, (2001), ‘Spironucleus vortens, a possible cause of hole-in-the-head disease in cichlids’, Diseases of Aquatic Organisms, 45: 3; 197-202 and reproduced with permission