Watch List notes:

Elagabalus, 218-222. Denarius (Silver, 19.5 mm, 3.27 g, 1 h), Rome. IMP ANTONINVS PIVS AVG Laureate and draped bust of Elagabalus to right. Rev. SVMMVS SACERDOS AVG Emperor in Syrian priestly dress sacrificing left at tripod altar and holding branch; star on the left field. BMCRE 232 var. RIC 146 var. RSC 276 var. An elegant portrait with a well detailed reverse. Good very fine.
From the Brett Telford Collection, USA.

Normally on this type the emperor is seen having a 'horn' over his forehead.