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,
Muddy River (Washington) rapidly, passing under Forest Road 25 and then receiving Clear Creek from the left about from the mouth. At the road crossing, Muddy Creek Picnic Site is on the left. Below the confluence with Clear Creek, the river meanders through Cedar Flats, leaves the national forest slightly more than a mile from the mouth, and passes a United States Geological Survey (USGS) stream gauge, on the left from the mouth. Muddy River enters the Lewis River about from the larger stream's mouth on the Columbia River. The USGS monitors the flow of Muddy River at a station upstream of the