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After working one of the worst mass killings in U.S. history, Scarpetta returns home to Cambridge, Massachusetts. Exhausted and ill, she's recovering at home when she receives an unsettling call. The body of a young woman has been discovered on the Massachusetts Institute of Technology's rugby field. The victim, a graduate student named Gail Shipman, is oddly draped in ivory linen and posed in a way that is too deliberate to be the killer's first strike.

The body of a woman has been discovered inside the gates of MIT, draped in an unusual cloth. An examination reveals that the body is covered in a fine dust that under ultra-violet light fluoresces blood-red, emerald-green and sapphire-blue. As Kay Scarpetta pieces together the evidence, she draws herself and her team deeper into the dark world of designer drugs, drone technology and shocking corruption at the highest level.