On the following exit, PA 65 makes a loop to the north and begins a concurrency with US 19 at a diamond interchange just north of the West End Bridge. The following two exits (one northbound and another southbound) ends the concurrency between US 19 and PA 65. Beyond US 19, PA 65 returns to at-grade level as a divided highway through the western sections of Pittsburgh. At mile marker 2.9 near the Pittsburgh city line, PA 65 intersects the Blue Belt which crosses the Ohio River to the southwest on the McKees Rocks Bridge.