Dr. Kay Scarpetta returns to Richmond, Virginia from freelancing in South Florida at the request of the recently appointed Chief Medical Examiner to solve the murder of a 14-year-old girl, but she finds that nothing is as she left it. Her former lab is being demolished; the chief isn't really the one who requested her; her former assistant chief has has personal problems that he refuses to reveal; and a glamorous FBI agent meddles with the case.