Le docteur Kay Scarpetta s’est installée en Floride. Elle a quitté la médecine légale institutionnelle pour l’expertise privée. Pourtant, elle va devoir revenir dans cette ville de Richmond qui lui a tourné le dos cinq ans plus tôt. Sur place, des surprises désagréables l’attendent. La démolition de ses anciens bureaux est presque achevée ; le médecin-légiste expert qui lui a succédé est un parfait incompétent ; son ancien assistant en chef est plongé dans des problèmes personnels qu’il refuse d’aborder. Privée de l’aide de Wesley et de sa nièce Lucy, Scarpetta se résout à élucider les causes du décès d’une adolescente de quatorze ans. Elle doit démêler l’écheveau des pistes, traquer des signes suspects afin de révéler une vérité qu’elle ne parviendra peut-être pas à tolérer.

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 chief has developed personal problems that he won't reveal; and a glamorous FBI agent, whom Scarpetta dislikes instantly, meddles with the case. Deprived of assistance from colleagues Benton and Lucy, who are embroiled in what appears to be an unrelated attempted rape by a stalker, Scarpetta is faced with investigating the death of a fourteen-year-old girl, working with the smallest pieces of evidence --- traces that only the most thorough hunters can identify. She must follow the twisting leads and track the strange details in order to make the dead speak --- and to reveal the sad truth that may be more than even she can bear ...