When Scarpetta examines a young man's body, she discovers stunning indications that he may have been alive when he was zipped inside a pouch and locked inside the cooler of her new Cambridge Forensic Center in Massachusetts. Various 3-D radiology scans reveal more shocking details about internal injuries unlike any Scarpetta has ever seen. These suggest the possibility of a conspiracy to cause mass casualties, and she races against time to discover...

In the pastoral community of Reddington, Vermont, during the harsh winter of 1981, Sibyl Danforth makes a life-or-death decision based on fifteen years of experience as a respected midwife -- a decision intended to save a child, a decision that will change her life forever.