| Middle River to Radviliskis | 4,374.82 mi (7,040.59 km) |
| Middle River to Raseiniai | 4,376.02 mi (7,042.52 km) |
| Middle River to Rietavas | 4,323.90 mi (6,958.65 km) |
| Middle River to Rokiskis | 4,435.38 mi (7,138.05 km) |
| Middle River to Sakiai | 4,388.80 mi (7,063.10 km) |
| Middle River to Salcininkai | 4,491.02 mi (7,227.60 km) |
| Middle River to Siauliai | 4,362.30 mi (7,020.44 km) |
| Middle River to Silale | 4,340.51 mi (6,985.38 km) |
| Middle River to Silute | 4,321.54 mi (6,954.85 km) |
| Middle River to Sirvintos | 4,450.03 mi (7,161.64 km) |
| Middle River to Skuodas | 4,291.43 mi (6,906.39 km) |
| Middle River to Svencionys | 4,485.62 mi (7,218.91 km) |
| Middle River to Taurage | 4,352.28 mi (7,004.32 km) |
| Middle River to Telsiai | 4,325.13 mi (6,960.63 km) |
| Middle River to Trakai | 4,463.93 mi (7,184.00 km) |
