Well, not much you can do except keep doing water changes religiously until it gets clean water. If it is fungus growth, the best thing to do is to remove him and put him in a ten gallon with airstone and use something like Furan-2 or Methylene blue for 5-7 days until it clears up, and feed very sparingly. I like to use flake food for goldies rather than pellet, because goldfish are greedy eaters but have a small stomach so the pellets expand in their stomach and very often they get bloated or swim bladder infections. Any more questions for me ask away. Goldfish are hardy, especially when their as big as HE is....im sure he'll be ok. The cheek spots are how you tell male from female, the mould looking stuff on their head or pectoral fins is usually a sign hes ready to mate. Has he been chasing other goldies?