The Keepsake: A Rizzoli Isles Novel - paperback, 9780345497635, Tess Gerritsen. Item picture is the actual item. We mark ALL of our books as "Acceptable", not only because they are mostly all used, but also to give ourselves some padding and keep our customers happy. The item may shows wear from consistent use, but it remains in good condition and works perfectly. All pages and cover are intact (including the dust cover, if applicable). Spine may show signs of wear. Pages may include limited notes and highlighting. May NOT include discs, access code or other supplemental materials.