Ohio River course forms the northern borders of West Virginia and Kentucky; and the southern borders of Ohio, Indiana and Illinois, until it joins the Mississippi River at the city of Cairo, Illinois. Where the Ohio joins the Mississippi is the lowest elevation in the state of Illinois, at . The Ohio River, which flows westward from Pittsburgh, Pennsylvania, to Cairo, Illinois, is the largest tributary, by volume, of the Mississippi River in the United States. At the confluence, the Ohio is considerably bigger than the Mississippi. Measured by long-term mean discharge in cubic feet per second and cubic meters per second,
Big Sandy Creek (Illinois) two streams combine shortly before discharging into the Illinois River opposite the hamlet of Montezuma, Illinois. Sand discharged by the alluvial creeks may have helped form McEvers Island, a silt island in the Illinois River just below the mouth of the creek. Big Sandy Creek (Illinois) Big Sandy Creek, often called the "Big Branch", is a tributary of the Illinois River in central Illinois. It drains a large portion of southwestern Morgan County and southern Scott County. The drainage of Big Sandy Creek includes Lake Jacksonville and the county seat of Scott County, Winchester, Illinois. Most of the Big Sandy