Commodus. Potin Tetradrachm of Alexandria, Egypt. Dated Year 29, AD 188-189. 

Laureate head right
LKQ, Nilus seated left on rock wall, holding reed and cornucopiae. 

Milne 2681; Koln 2240, Dattari 3878, Curtis 837, Emmett 2553.

With permission of cngcoins.com, the AK collection sale, lot O13.