I agree with some of the other reviewers about this book. There is too much vagueness and you never seem to get what the heck is going on. This whole book, except for the last chapter, takes place in less than a 12 hour period! Almost 480 pages of Scarpetta using doublespeak, has a lot of inner conversations, and we are supposed to try to read between the lines as to what the heck is actually going on.
The character of Benton, who I used to like, has become annoying with all of his, "it's FBI stuff and I can't say much more" crap. Lucy has just become a loose cannon and all of them together are starting to give me a headache.
I wish the author would go back to the way she wrote of them in the beginning when I really loved this series. I am giving it 3 stars though, because at least one of the vile villains is back and hopefully she will make things more interesting again.