Rikumichi Kusuda, the fake patient who the FBI is spying on, sneaks into the nurse's office and takes pictures of the list patients. He is caught by a nurse and the FBI deploy. Rikumichi unravels the bandages around his neck to reveal he has C-4 explosives and makes a getaway in a car. Akai follows him with Conan who was hiding in the back, but the chase is cut short when Rikumichi shoots himself. Conan broke Rikumichi's cell phone prior to the escape, but it's too late, the Black Organization already knows where Rena lies. Back in Rena's room, Eisuke walks in demanding her to wake up and tell him where his sister is. Just as Eisuke is about to stab her with scissors, Rena grabs his hand.
Grâce à l'aide de Conan, le FBI a pu identifier le membre de l'Organisation caché dans l'hôpital. Leur tentative de l'appréhender se termine néanmoins en un échec. Conan apprend des agents James Black et Jodie Starling des informations sur le passé de Shuichi Akai, et décide d'élaborer un plan avec lui.
L'FBI mette alle strette l'infiltrato dell'organizzazione che, però, riesce a scappare e minaccia di farsi saltare in aria
El miembro de los Hombres de Negro va a la recepción del hospital de noche para ver si Rena está hospitalizada en él. Aparecen los del FBI y Jodie lo apunta con la pistola, pero este amenaza que tiene una bomba en su cuello y que ante cualquier movimiento en falso lo hará explotar. Consigue huir en coche, pero Akai y Conan lo persiguen hasta que él se suicida. Más tarde, Jodie le relata a Conan el pasado de Akai en la Organización, mientras que Eisuke Hondou y Mizunashi Rena se encuentran en el hospital.