| Elk River to Radviliskis | 4,554.27 mi (7,329.39 km) |
| Elk River to Raseiniai | 4,564.43 mi (7,345.74 km) |
| Elk River to Rietavas | 4,514.94 mi (7,266.10 km) |
| Elk River to Rokiskis | 4,599.17 mi (7,401.64 km) |
| Elk River to Sakiai | 4,583.55 mi (7,376.51 km) |
| Elk River to Salcininkai | 4,678.84 mi (7,529.87 km) |
| Elk River to Siauliai | 4,541.36 mi (7,308.62 km) |
| Elk River to Silale | 4,533.31 mi (7,295.66 km) |
| Elk River to Silute | 4,520.75 mi (7,275.45 km) |
| Elk River to Sirvintos | 4,630.80 mi (7,452.56 km) |
| Elk River to Skuodas | 4,477.00 mi (7,205.04 km) |
| Elk River to Svencionys | 4,657.04 mi (7,494.78 km) |
| Elk River to Taurage | 4,547.70 mi (7,318.82 km) |
| Elk River to Telsiai | 4,510.31 mi (7,258.64 km) |
| Elk River to Trakai | 4,650.49 mi (7,484.25 km) |
