Under the leafy cover of night in Richmond, Virginia, a human monster moves undetected, leaving a gruesome trail of stranglings that has paralyzed the city. Medical examiner Kay Scarpetta senses the worst: a deliberate campaign by a brilliant serial killer— a "Mr.Nobody"—whose signatures offer precious few clues. With an unerring eye, she must call on the latest advances in forensic research to have a chance at unmasking the maniac. But this investigation will test Kay like no other, because it's being sabotaged from within—and someone wants her dead.