An intriguing Dr Kay Scarpetta novel which will take Kay an ocean's breadth away from home. The case begins when a cargo ship arriving at Richmond, Virginia's Deep Water Terminal from Belgium is discovered to be transporting a locked, sealed container holding the decomposed remains of a stowaway. The post mortem performed by the Chief Medical Examiner, Kay Scarpetta, initially reveals neither a cause of death nor an identification. But the victim's personal effects and an odd tattoo take Scarpetta on a hunt for information that leads to Interpol's headquarters in Lyon, where she receives critical instructions

A farmhouse destroyed by fire. A body amongst the ruins. Dr Kay Scarpetta, Chief Medical Examiner and consulting pathologist for the federal law enforcement agency ATF, is called out to a farmhouse in Virginia which has been destroyed by fire. In the ruins of the house she finds a body which tells a story of a violent and grisly murder. The fire has come at the same time as another, even more incendiary horror: Carrie Grethen, a killer who nearly destroyed the lives of Scarpetta and those closest to her, has escaped from a forensic psychiatric hospital.