| Altoona to Radviliskis | 4,376.16 mi (7,042.75 km) |
| Altoona to Raseiniai | 4,378.64 mi (7,046.73 km) |
| Altoona to Rietavas | 4,326.67 mi (6,963.11 km) |
| Altoona to Rokiskis | 4,434.75 mi (7,137.05 km) |
| Altoona to Sakiai | 4,392.38 mi (7,068.86 km) |
| Altoona to Salcininkai | 4,494.04 mi (7,232.46 km) |
| Altoona to Siauliai | 4,363.53 mi (7,022.43 km) |
| Altoona to Silale | 4,343.61 mi (6,990.36 km) |
| Altoona to Silute | 4,325.47 mi (6,961.17 km) |
| Altoona to Sirvintos | 4,451.88 mi (7,164.61 km) |
| Altoona to Skuodas | 4,293.28 mi (6,909.36 km) |
| Altoona to Svencionys | 4,486.29 mi (7,219.99 km) |
| Altoona to Taurage | 4,355.80 mi (7,009.98 km) |
| Altoona to Telsiai | 4,327.07 mi (6,963.75 km) |
| Altoona to Trakai | 4,466.66 mi (7,188.40 km) |
