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The mutilated body of a woman is found, and the principal suspects are her two sons. Andy Sipowicz (Dennis Franz) tries to figure out if the guilty party is the son who shows no remorse or the one lost in a haze of drugs and alcohol. When one of the suspects kills himself, Andy wonders if the dead man could serve as a heart donor for the still-ailing Bobby Simone (Jimmy Smits). Meanwhile, Lt. Fancy (James McDaniel) locates another possible donor -- a brain-dead cop whose grieving wife may not grant permission.