The first message sent to Tom Thorne's phone was just a picture - the blurred image of a man's face, but Thorne had seen enough dead bodies to know that the man was no longer alive. But who was he? Who sent the photograph? And why? While the technical experts attempt to trace the sender, Thorne searches the bulletins for a reported death that matches the photograph. Then another picture arrives.
In Richmond, Virginia, young lovers are dying. So far, four couples in the area have disappeared, only to be found months later as mutilated corpses. When the daughter of the president's newest drug czar vanishes along with her boyfriend, Dr Kay Scarpetta knows time is short. Following a macabre trail of evidence that ties the present homicides to a grisly crime in the past, Kay must draw upon her own personal resources...