YORK COUNTY, Va. – Police say a 69-vehicle pileup on an interstate in Virginia left eleven people with serious injuries.

Virginia State Police Sgt. Michelle Anaya said in a statement that the pileup began shortly before 8 a.m. Sunday on a stretch of Interstate 64 in York County. State police tweeted that there was fog and ice along a bridge at the time of the wreck, which left a scene of crumpled cars, tangled metal and shattered windows. One red pickup truck was plopped atop another vehicle.

No fatalities were reported but it took crews hours to clear the roadway and reopen all lanes of traffic.

Peter Glagola, spokesman for Riverside Health System, said 25 people who were hurt in the crash came to Riverside Regional Medical Center in Newport News. Medics took all but one of the people there; the other person was a walk-in. 21 people went to Regional Doctors’ Hospital Williamsburg. Glagola said one person was seriously injured.