Myron Bolitar hasn't heard from Terese Collins since their torrid affair ended ten years ago, so her desperate phone call from Paris catches him completely off guard. Now a suspect in the murder of her ex-husband in Paris, Terese has nowhere else to turn for help. Myron heeds the call but then a startling piece of evidence turns the entire case upside down.

Dr. Kay Scarpetta, now freelancing from south Florida, returns to the city that turned its back on her five years ago. Richmond, Virginia's recently appointed chief medical examiner claims that he needs Scarpetta's help to solve a perplexing crime. When she arrives, however, Scarpetta finds that nothing is as she expected: her former lab is in the final stages of demolition; the inept chief isn't the one who requested her after all; her old assistant...