Confluence of Ohio and Mississippi Rivers, USA37.1N 89.1W
This orthorectified image shows the confluence of the Mississippi River (wider, right) and Ohio River (thinner, left), near Mounds, Illinois. Ships can be observed travelling in both rivers, particularly the former.
The large city near the left edge in the upper left quadrant, on the banks of the Ohio River, is Cape Girardeau, in Southeast Missouri. The “cape” that the city is named after no longer exists.