Florida is full of human predators, and they all give Dr. Kay Scarpetta the opportunity and the means to do what she does best, persuading the dead to speak to her. And in Boston, Benton Wesley is working on a secret case involving convicted killers. It is a project which gives Scarpetta deep disquiet, as does the behaviour of her niece, Lucy, who is spending too much time in cheap bars looking for casual pick-ups.

Physically and psychologically bruised by her encounter with the killer Chandonne, Dr Kay Scarpetta has to leave her home in the hands of the police team investigating the attack. She finds shelter with an old friend, Anna Zenner, but it is not the haven of security she needs when she discovers that Anna has been sub- poenaed to appear before a Grand Jury which is investigating Scarpetta for murder.

The body of an elderly woman is found dismembered in a Virginia landfill. Scarpetta initially believes the clues mirror that of a serial killer she's tracked before. But upon further investigation, she discovers puzzling pox-like erruptions on the woman's body that, perhaps, point in another direction.

Since Postmortem garnered critical acclaim and a record-breaking five awards for a first crime novel, the Scarpetta novels have often been imitated, but never bettered. Against her own judgement and the advice of Benton Wesley and her niece, Lucy, Scarpetta agrees to return to Virginia as a consultant pathologist on a case involving the death of a 14-year-old girl.

When the bodies of young courting couples start turning up in remote woodland areas, Dr Kay Scarpetta's task as chief medical examiner is made more difficult by the effects of the elements. Eight times she must write that the cause of death is undetermined. But when the latest girl to go missing turns out to be the daughter of one of the most powerful women in America, Kay finds herself prey to political pressure. As she starts to investigate, she finds that vital evidence is being withheld.